Individual provider Active NPI

Annya Suman, M.D.

  • Allergy & Immunology Physician
  • Baltimore, MD
National Provider Identifier
1255893509
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
075861 Issued in CT
Practice address
201 E University Pkwy
Baltimore, MD 21218
Phone
(410) 554-2857
Fax
(410) 554-4326
NPI assigned
Apr 4, 2019
Reactivated
Jan 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 075861 CT Primary

Addresses

Primary practice location

201 E University Pkwy
Baltimore, MD 21218

Mailing address

538 Litchfield St Ste 101
Torrington, CT 06790-6669
Phone (860) 496-1790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20240730000712 CT Practitioner - Allergy/Immunology 4284171018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

538 Litchfield St
Suite 101
Torrington, CT 06790-6669
Phone (860) 496-1790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
075861CTMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

538 Litchfield St
Ste 101
Torrington, CT 06790
Phone (860) 496-1760

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: annya.suman@xdr.hhchealthdirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1255893509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST STE 101",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-496-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-554-2857",
            "fax_number": "410-554-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMAN",
        "first_name": "ANNYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "deactivation_date": "2019-11-07",
        "reactivation_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "075861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.