Mini Sudheer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

276794 Issued in AZ

Practice address

655 S Dobson Rd Ste 201
Chandler, AZ 85224-5669

Phone

(480) 307-9477

NPI assigned

Jul 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mini.sudheer@3056459120644.direct.elationemr.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1154054591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E GAIL DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251879",
            "telephone_number": "480-246-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD STE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245669",
            "telephone_number": "480-307-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDHEER",
        "first_name": "MINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "276794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164370",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Suchsland, O.D.
• Neetika Sud, DO
• Rohit Sud, MD
• Suda Care LLC
• Sheila Sudhakar, MD
• Sydney Renee Sudler, DO
• Taler Suggs, FNP-C
• Erica Satoko Sugiyama-Hill, LPC
• Suliman A Suliman
• Loreto Sulit, MD

• Family Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.