Active NPI
Sumita Kumari Debroy, MD
- Pediatrics Physician
- North Charleston, SC
National Provider Identifier
1164538732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 293195
- Practice address
- 2713 Dantzler Dr
North Charleston, SC 29406-9005 - Phone
- (843) 764-1722
- Fax
- (843) 764-1788
- NPI assigned
- Aug 23, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 293195 | SC | Primary |
Addresses
Primary practice location
2713 Dantzler Dr
North Charleston, SC 29406-9005
Mailing address
2713 Dantzler Dr
North Charleston, SC 29406-9005
Phone (843) 764-1722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293195 | Medicaid | SC |
Other names 1
- Mrs. Sumita Banik
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293195 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwood Pediatric Group PA | Pediatrics | Past | Accepting new patients |
| Carolina Family Care, Inc | Pediatrics | Past | Accepting new patients |
| Sweetgrass Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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
- Charleston, SC
- NPI 1659521201
-
- Pediatrics Physician
- North Charleston, SC
- NPI 1437168135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1164538732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 DANTZLER DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069005",
"telephone_number": "843-764-1722",
"fax_number": "843-764-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 DANTZLER DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069005",
"telephone_number": "843-764-1722",
"fax_number": "843-764-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBROY",
"first_name": "SUMITA",
"middle_name": "KUMARI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "293195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "293195",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUMITA",
"last_name": "BANIK",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.