Active NPI
Unknown Trisha Sunderajan, MD
- Pediatric Critical Care Medicine Physician
- Des Moines, IA
National Provider Identifier
1114588803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD-53919
- Practice address
- 1200 Pleasant St
Des Moines, IA 50309-1406 - Phone
- (646) 826-9392
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
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.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- Pediatrics Physician
- Des Moines, IA
- NPI 1144309188
NPD PEDIATRIC CRITICAL CARE MEDICINE -
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1776 W Lakes Pkwy
West Des Moines, IA 50266-8378
PO Box
Kansas City, MO 64184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822000587 | IA | Practitioner - Pediatric Medicine | 1153821343 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-53919 | IA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients |
Locations
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
Interoperability endpoints
- tsunderajan1202378@direct.unitypoint.org
- tsunderajan17553@prd.direct.tbh.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD-53919 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1200 Pleasant St
Des Moines, IA 50309-1406
Mailing address
1200 Pleasant St
Des Moines, IA 50309-1406
Phone (646) 826-9392
Other names 1
NPPES NPI Registry- Trisha Sunderajan
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2025.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1114588803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "646-826-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "646-826-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRISHA SUNDERAJAN",
"first_name": "UNKNOWN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IA",
"license": "MD-53919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRISHA",
"last_name": "SUNDERAJAN",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.