Suchitra Rondla, MBBS

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

48207 Issued in MN

Practice address

3585 Lexington Avenue North
Suite 350
Shoreview, MN 55126-8056

Phone

(651) 494-3942

Fax

(651) 787-0519

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srondla40818@direct.healthpartners.com

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.

• Group Health, Inc.

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• Group Health, Inc.

  • Pain Clinic/Center
  • Anoka, MN
  • NPI 1689068462
  NPD
• Group Health, Inc.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1326007659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVENUE NORTH",
            "address_2": "SUITE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268056",
            "telephone_number": "651-251-5280",
            "fax_number": "651-251-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVENUE NORTH",
            "address_2": "SUITE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268056",
            "telephone_number": "651-494-3942",
            "fax_number": "651-787-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDLA",
        "first_name": "SUCHITRA",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "48207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395421800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Remakel, OTR/L
• Renew Pathways Mental Health
• Renew Psychological Services LLC
• Lauren Marie Renner, CCC-SLP
• Kelly Lynne Roberts, DPT
• Carlie Ross, MSW, LGSW
• Elizabeth Jane Rowland, CNM
• Fartun Rufai
• Sarah Karalus Ryan, D.O.
• Rydgo Technologies

• Pediatrics Physician in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.

Verify at the official NPI Registry.