Individual provider Active NPI

Pranavan Sinmayanandan, M.D.

  • Internal Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1396905402
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A#110440 Issued in CA
Practice address
1711 Cudaback Ave # 941751
Niagara Falls, NY 14303-1709
Phone
(416) 540-0234
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT#189998 PA
Internal Medicine Physician 207R00000X A#110440 CA Primary

Addresses

Primary practice location

1711 Cudaback Ave # 941751
Niagara Falls, NY 14303-1709

Mailing address

1711 Cudaback Ave # 941751
Niagara Falls, NY 14303-1709
Phone (416) 540-0234

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A#110440CAMDInternal Medicine Physician
MT#189998PAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1396905402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CUDABACK AVE # 941751",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031709",
            "telephone_number": "416-540-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CUDABACK AVE # 941751",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031709",
            "telephone_number": "416-540-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINMAYANANDAN",
        "first_name": "PRANAVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT#189998",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A#110440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.