Active NPI
Suma Gondi
- Student in an Organized Health Care Education/Training Program
- Columbia, MO
National Provider Identifier
1265297311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- NA
- Practice address
- 1 Hospital Drive
Columbia, MO 65212 - Phone
- (573) 884-7886
- NPI assigned
- Feb 19, 2024
- Last updated
- Feb 19, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NA | NU | Primary |
Addresses
Primary practice location
1 Hospital Drive
Columbia, MO 65212
Mailing address
22 Baxter LN
Chesterfield, MO 63017-4908
Phone (314) 448-0436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251219003362 | WI | Order and Referring Only - Internal Medicine | 6709371354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101574 | WI | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1265297311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BAXTER LN",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174908",
"telephone_number": "314-448-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DRIVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65212",
"telephone_number": "573-884-7886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONDI",
"first_name": "SUMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.