Organization Active NPI

Suman N.Patel,MD a Professional Corporation

  • Internal Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1386791218
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUMAN N.PATEL,MD A PROFESSIONAL CORPORATION
Practice address
6850 Sepulveda Blvd
Suite 217
Van Nuys, CA 91405-4444
Phone
(818) 901-7855
Fax
(818) 901-1915
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Dr. Suman N Patel, M.D.NPI 1437225174
Title
Ceo
Phone
(818) 901-7855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6850 Sepulveda Blvd
Suite 217
Van Nuys, CA 91405-4444

Mailing address

PO Box 55323
Sherman Oaks, CA 91413-0323
Phone (818) 901-7855

Other identifiers 3

IdentifierTypeStateIssuer
GR0085320MedicaidCA
110057858OtherCARAILROAD MEDICARE PROVIDE
W14112OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050503000614 CA Part B Supplier - Clinic/Group Practice 3971542556 Receives reassigned benefits from 2 practitioners
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

6850 Sepulveda Blvd
Ste 217
Van Nuys, CA 91405
Phone (818) 901-7855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1386791218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55323",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914130323",
            "telephone_number": "818-901-7855",
            "fax_number": "818-901-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD",
            "address_2": "SUITE 217",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054444",
            "telephone_number": "818-901-7855",
            "fax_number": "818-901-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMAN N.PATEL,MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-901-7855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "110057858",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W14112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.