Individual provider Active NPI

Sudha B Mahalingam, MD

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1255310983
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35044562M Issued in OH
Practice address
10506 Montgomery Rd
Suite G102
Cincinnati, OH 45242-4487
Phone
(859) 363-4886
Fax
(859) 363-4984
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35044562M OH Primary

Addresses

Primary practice location

10506 Montgomery Rd
Suite G102
Cincinnati, OH 45242-4487

Mailing address

Location 0883
Cincinnati, OH 45264-0001
Phone (877) 841-5125

Other identifiers 1

IdentifierTypeStateIssuer
0481750MedicaidOH

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

LicenseStateTypeSpecialty
35044562MOHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1255310983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCATION 0883",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640001",
            "telephone_number": "877-841-5125",
            "fax_number": "859-363-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD",
            "address_2": "SUITE G102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424487",
            "telephone_number": "859-363-4886",
            "fax_number": "859-363-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALINGAM",
        "first_name": "SUDHA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35044562M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.