Active NPI
Maruthi Madhav Sunkara, MD
- Pediatrics Physician
- Gloversville, NY
National Provider Identifier
1265631899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 241793
- Practice address
- 99 East State St.,
Medical Arts BLDG Suite 105
Gloversville, NY 12078 - Phone
- (518) 775-4234
- Fax
- (518) 775-4271
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 241793 | NY | Primary |
Addresses
Primary practice location
99 East State St.,
Medical Arts BLDG Suite 105
Gloversville, NY 12078
Mailing address
99 E State St
PO Box 1250
Gloversville, NY 12078-1203
Phone (518) 775-4205
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4158884 | Other | NY | MVP HEALTHPLAN |
| 02298671 | Medicaid | NY | |
| 10127405 | Other | NY | CDPHP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001484 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Littauer Hospital Association | Past | Accepting new patients |
Interoperability endpoints
- msunkara.nlh@hixny.net
Organizations & group practices 1
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.
-
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1265631899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E STATE ST",
"address_2": "PO BOX 1250",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781203",
"telephone_number": "518-775-4205",
"fax_number": "518-775-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 EAST STATE ST.,",
"address_2": "MEDICAL ARTS BLDG SUITE 105",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "12078",
"telephone_number": "518-775-4234",
"fax_number": "518-775-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNKARA",
"first_name": "MARUTHI",
"middle_name": "MADHAV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "241793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHPLAN",
"identifier": "4158884",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02298671",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10127405",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.