Active NPI
Ekknoor K. Sahota, MD
- Internal Medicine Physician
- Providence, RI
National Provider Identifier
1104370360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD16766
- Practice address
- 100 Curtis St
Providence, RI 02909 - Phone
- (401) 444-0540
- Fax
- (401) 444-0424
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16766 | RI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT211968 | PA |
Addresses
Primary practice location
100 Curtis St
Providence, RI 02909
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ekknoor.sahota@providencechc.directbygreenway.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16766 | RI | MD | Internal Medicine Physician |
| MT211968 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bates County Memorial Hospital | Current | Accepting new patients | |
| Bates County Memorial Hospital | Current | Accepting new patients | |
| Mawd Pathology Group Inc | Current | Accepting new patients | |
| Mawd Pathologists, LLC | Current | Accepting new patients | |
| Bates County Memorial Hospital | Current | Accepting new patients |
Locations
615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004
Interoperability endpoints
- ekknoor.sahota@hca2.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Butler, MO
- NPI 1740311471
-
- Rural Health Clinic/Center
- Rich Hill, MO
- NPI 1477009959
-
- General Acute Care Hospital
- Butler, MO
- NPI 1770536740
-
- Anatomic Pathology & Clinical Pathology Physician
- Lenexa, KS
- NPI 1376209130
-
- Anatomic Pathology & Clinical Pathology Physician
- Lenexa, KS
- NPI 1033108519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1104370360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ALLENS AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029055010",
"telephone_number": "401-444-0400",
"fax_number": "401-444-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CURTIS ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02909",
"telephone_number": "401-444-0540",
"fax_number": "401-444-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHOTA",
"first_name": "EKKNOOR",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16766",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT211968",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekknoor.sahota@providencechc.directbygreenway.com",
"affiliation": "N",
"address_1": "100 Curtis St",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "02909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.