Active NPI
Suganya Kathiravan, M.D
- Neonatal-Perinatal Medicine Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 45055
- Practice address
- 1 Robert Wood Johnson PL
Bristol-Myers Squibb Childrens Hospital at Rwjuh
New Brunswick, NJ 08901-1928 - Phone
- (732) 235-5709
- NPI assigned
- Jul 3, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 45055 | AZ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL
Bristol-Myers Squibb Childrens Hospital at Rwjuh
New Brunswick, NJ 08901-1928
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-1813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Honorhealth | Past | Accepting new patients | |
| Obstetrix Medical Group of Phoenix PC | Maternal & Fetal Medicine | Past | Accepting new patients |
| Honorhealth | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Phoenix Children'S Hospital | Past | Accepting new patients |
Locations
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
1111 E McDowell Rd
Fl 3
Phoenix, AZ 85006
Interoperability endpoints
- skathiravan241258@direct.valleywisehealth.org
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1427875061
-
- Neonatal-Perinatal Medicine Physician
- Mesa, AZ
- NPI 1407957152
Maternal & Fetal Medicine
-
- Children's Hospital
- Phoenix, AZ
- NPI 1760480503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1124257787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"address_2": "BRISTOL-MYERS SQUIBB CHILDRENS HOSPITAL AT RWJUH",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-235-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATHIRAVAN",
"first_name": "SUGANYA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-03",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "45055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.