Active NPI
Sumant Raghavendra Pargaonkar, M.D.
- Student in an Organized Health Care Education/Training Program
- Bronx, NY
National Provider Identifier
1295318764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1400 Pelham Parkway South
BLDG 01, Room 303
Bronx, NY 10461 - Phone
- (718) 918-5595
- NPI assigned
- May 3, 2021
- Reactivated
- Jan 16, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1400 Pelham Parkway South
BLDG 01, Room 303
Bronx, NY 10461
Mailing address
1400 Pelham Parkway South, Jacobi Medical Center
BLDG 01, 3N01
Bronx, NY 10461
Phone (718) 918-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20251018000189 | NE | Order and Referring Only - Cardiovascular Disease (Cardiology) | 7012405442 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10173 | NE | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1295318764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER",
"address_2": "BLDG 01, 3N01",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5595",
"fax_number": "718-918-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY SOUTH",
"address_2": "BLDG 01, ROOM 303",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARGAONKAR",
"first_name": "SUMANT",
"middle_name": "RAGHAVENDRA",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-03",
"last_updated": "2024-01-16",
"certification_date": "2023-03-23",
"deactivation_date": "2023-03-23",
"reactivation_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.