Suksham Puri-Kumar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A52701 Issued in CA

Practice address

39500 Liberty Street
Tri-City Health Center
Fremont, CA 94538

Phone

(510) 770-8133

Fax

(510) 770-8140

NPI assigned

Jul 1, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Community HealthGroup PAC ID 1658349824, shared by 11 NPIs, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1942387188
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1245269406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40143 LUCINDA CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393653",
            "telephone_number": "510-573-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 LIBERTY STREET",
            "address_2": "TRI-CITY HEALTH CENTER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-770-8133",
            "fax_number": "510-770-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI-KUMAR",
        "first_name": "SUKSHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A52701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquie Pugh
• Chanel Pulido
• Newton Pullian
• Diana Pulotu
• Puri Pediatric Medical Group, Inc.
• Hari Chand Puri, M.D.
• Meesha Puri, NP
• Veena Puri, M.D.
• Mahender Purmandla, M.D.; M.P.H.
• Vaishnavi Purusothaman, M.D.

• Pediatrics Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.