Individual provider Active NPI

Sumithra Nanjappa Kambi, MD

  • Obstetrics & Gynecology Physician
  • Richmond Hill, NY
National Provider Identifier
1265623912
Registry record updated Aug 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
245468 Issued in NY
Practice address
11311 Jamaica Ave
Richmond Hill, NY 11418-2476
Phone
(718) 850-0009
Fax
(718) 657-0512
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 245468 NY Primary

Addresses

Primary practice location

11311 Jamaica Ave
Richmond Hill, NY 11418-2476

Mailing address

11311 Jamaica Ave
Richmond Hill, NY 11418-2476
Phone (718) 850-0009

Other names 1

  • Dr. Sumithra Nanjappa Kambi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201218002359 NY Practitioner - Obstetrics/Gynecology 1658783410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community Health Center IncGroup PAC ID 4486545266, 49 clinicians

Practice addresses (Care Compare)

2021 Grand Concourse
Bronx, NY 10453-4304
Phone (718) 220-2020

National Provider Directory

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

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Union Community Health Center, Inc. CurrentSince Dec 11, 2020 Accepting new patients

Locations

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sumithra.kambi.1@18107.direct.athenahealth.com

Organizations & group practices 8

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438473600000",
    "number": "1265623912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182476",
            "telephone_number": "718-850-0009",
            "fax_number": "718-657-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182476",
            "telephone_number": "718-850-0009",
            "fax_number": "718-657-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBI",
        "first_name": "SUMITHRA",
        "middle_name": "NANJAPPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2015-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "245468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMITHRA",
            "last_name": "KAMBI",
            "middle_name": "NANJAPPA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.