Individual provider Active NPI

Sasidhar Somuri, M.D

  • Internal Medicine Physician
  • Clinton, IA
National Provider Identifier
1285954206
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036125883 Issued in IL
Practice address
1410 N 4TH St
Clinton, IA 52732-2940
Phone
(563) 244-5555
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036125883 IL
Internal Medicine Physician 207R00000X 036125883 IL Primary

Addresses

Primary practice location

1410 N 4TH St
Clinton, IA 52732-2940

Mailing address

5546 Willmeyer Dr
Bettendorf, IA 52722-2461
Phone (347) 463-0757

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address somuris@mercyone.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101028001252 IL Practitioner - HospitalistPractitioner - Internal Medicine 4981898400 Reassigns benefits to 4 organizations
I20140220000742 IA Practitioner - HospitalistPractitioner - Internal Medicine 4981898400 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians
Apogee Medical Group Iowa PCGroup PAC ID 2860572484, 21 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Mercyone Genesis
Davenport, IA 52803-2459
Phone (563) 421-1000

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5695

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036125883ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Feb 16, 2024 Accepting new patients
Genesis Health System CurrentSince Nov 17, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Apogee Medical Group Iowa PC Internal Medicine CurrentSince Apr 23, 2021 Accepting new patients
Genesis Health System Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Feb 16, 2024 Accepting new patients
Mercy Medical Center-Clinton, Inc Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: ssomuri884068@direct.unitypoint.org
  • Direct secure messaging: ssomuri3936883@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1285954206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 WILLMEYER DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222461",
            "telephone_number": "347-463-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "563-244-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMURI",
        "first_name": "SASIDHAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036125883",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036125883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "somuris@mercyone.com",
            "affiliation": "N",
            "endpointDescription": "Mercy one clinton direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "1410 N 4th St",
            "city": "Clinton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527322940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.