Active NPI
Chollapadi V Sundar-Raj, OD
- Optometrist
- Pittsburgh, PA
National Provider Identifier
1124093091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000974
- Practice address
- 203 Lothrop St
8TH Floor, Eeins
Pittsburgh, PA 15213-2548 - Phone
- (412) 647-2214
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000974 | PA | Primary |
Addresses
Primary practice location
203 Lothrop St
8TH Floor, Eeins
Pittsburgh, PA 15213-2548
Mailing address
330 Curry Hollow Rd
Pittsburgh, PA 15236-4621
Phone (412) 647-2214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001148372 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000974 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Allergy Associates, Inc. | Past | Accepting new patients | |
| Family Professional Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Pittsburgh, PA
- NPI 1235196585
-
- Allergy & Immunology Physician
- Pittsburgh, PA
- NPI 1629029186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1124093091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CURRY HOLLOW RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152364621",
"telephone_number": "412-647-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 LOTHROP ST",
"address_2": "8TH FLOOR, EEINS",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132548",
"telephone_number": "412-647-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDAR-RAJ",
"first_name": "CHOLLAPADI",
"middle_name": "V",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001148372",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.