Individual provider Active NPI

Ekknoor K. Sahota, MD

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1104370360
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16766 Issued in RI
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

Updated by the provider on Apr 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831000538 MO Practitioner - Internal Medicine 0648567834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16766RIMDInternal Medicine Physician
MT211968PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bates County Memorial Hospital Current Accepting new patients
Bates County Memorial Hospital CurrentSince Aug 28, 2022 Accepting new patients
Mawd Pathology Group Inc Current Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Bates County Memorial Hospital CurrentSince Aug 28, 2022 Accepting new patients

Locations

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.