Active NPI
Sudipa Barr, MD
- Pediatrics Physician
- Fairport, NY
National Provider Identifier
1215092580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35084974
- Practice address
- 2828 Baird Rd
Fairport, NY 14450-1247 - Phone
- (585) 310-7425
- Fax
- (585) 310-7428
- NPI assigned
- Dec 27, 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 | 35084974 | OH | Primary |
Addresses
Primary practice location
2828 Baird Rd
Fairport, NY 14450-1247
Mailing address
2828 Baird Rd Ste C
Fairport, NY 14450-1247
Phone (585) 310-7425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2706825 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35084974 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridia Medical Group, LLC | Past | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients | |
| Eastside Pediatrics, PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- drsudipabarr@eastsidepediatrics.medentdirect.com
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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- Specialist
- Warrensville Heights, OH
- NPI 1316992944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1215092580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 BAIRD RD STE C",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501247",
"telephone_number": "585-310-7425",
"fax_number": "585-310-7428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 BAIRD RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501247",
"telephone_number": "585-310-7425",
"fax_number": "585-310-7428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "SUDIPA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35084974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2706825",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.