Active NPI
Suman Kumar Das, MD
- Plastic and Reconstructive Surgery Physician
- Flowood, MS
National Provider Identifier
1164511374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 10570
- Practice address
- 2629 Courthouse Cir
Flowood, MS 39232-9521 - Phone
- (601) 362-0611
- Fax
- (601) 362-0192
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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
- Credentials
- Doctor of Medicine
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 10570 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2629 Courthouse Cir
Flowood, MS 39232-9521
Mailing address
2629 Courthouse Cir
Flowood, MS 39232-9521
Phone (601) 362-0611
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08922816 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2020.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1164511374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 COURTHOUSE CIR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329521",
"telephone_number": "601-362-0611",
"fax_number": "601-362-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 COURTHOUSE CIR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329521",
"telephone_number": "601-362-0611",
"fax_number": "601-362-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAS",
"first_name": "SUMAN",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MS",
"license": "10570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08922816",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.