Active NPI
Sukumaran C Aryangat, M.D.
- Internal Medicine Physician
- Mount Rainier, MD
National Provider Identifier
1174576789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0015558
- Practice address
- 3308 Perry St
Mount Rainier, MD 20712-2032 - Phone
- (301) 927-3170
- Fax
- (301) 927-0064
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0015558 | MD | Primary |
Addresses
Primary practice location
3308 Perry St
Mount Rainier, MD 20712-2032
Mailing address
3308 Perry St
Mount Rainier, MD 20712-2032
Phone (301) 927-3170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017221900 | Medicaid | MD | |
| 15500001 | Other | DC | CAREFIRST BLUE CROSS&BLUE |
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 |
|---|---|---|---|
| D0015558 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1174576789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 PERRY ST",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207122032",
"telephone_number": "301-927-3170",
"fax_number": "301-927-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 PERRY ST",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207122032",
"telephone_number": "301-927-3170",
"fax_number": "301-927-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARYANGAT",
"first_name": "SUKUMARAN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0015558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017221900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CROSS&BLUE",
"identifier": "15500001",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Rainier, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.