Active NPI
Sundus Sabrie
- Pediatrics Physician
- Minnetonka, MN
National Provider Identifier
1275144164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1427027184
- Practice address
- 17705 Hutchins Dr Ste 250
Minnetonka, MN 55345-4103 - Phone
- (952) 401-8300
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 1427027184 | MN | Primary |
Addresses
Primary practice location
17705 Hutchins Dr Ste 250
Minnetonka, MN 55345-4103
Mailing address
17705 Hutchins Dr Ste 250
Minnetonka, MN 55345-4103
Phone (952) 401-8300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1427027184 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1275144164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17705 HUTCHINS DR STE 250",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454103",
"telephone_number": "952-401-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17705 HUTCHINS DR STE 250",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454103",
"telephone_number": "952-401-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABRIE",
"first_name": "SUNDUS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "1427027184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.