Individual provider Active NPI

Indra Doorpatie Sukhram, EJD, MSN, APRN-NP

  • Primary Care Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1407933237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
110242 Issued in NE
Practice address
600 S 70TH St
Lincoln, NE 68510-2451
Phone
(402) 489-3802
Fax
(402) 486-7861
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110242 NE
Primary Care Nurse Practitioner 363LP2300X 110242 NE Primary

Addresses

Primary practice location

600 S 70TH St
Lincoln, NE 68510-2451

Mailing address

5200 W Bluegill Cir
Denton, NE 68339-9796
Phone (402) 489-3802

Other practice location 1

5010 O St
Lincoln, NE 68510-1951
Phone (800) 253-4368

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905001967 NE Order and Referring Only - Nurse Practitioner 6901991744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska House Call Physicians, P.C. PastSince Feb 1, 2005 Accepting new patients
The Physician Network Past Accepting new patients
Urgent Care Clinic of Lincoln, P.C. Past Accepting new patients
Value Based Long Term Care B PC PastSince Jun 1, 2025 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407933237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W BLUEGILL CIR",
            "city": "DENTON",
            "state": "NE",
            "postal_code": "683399796",
            "telephone_number": "402-489-3802",
            "fax_number": "402-486-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102451",
            "telephone_number": "402-489-3802",
            "fax_number": "402-486-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 O St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685101951",
            "country_code": "US",
            "telephone_number": "800-253-4368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUKHRAM",
        "first_name": "INDRA",
        "middle_name": "DOORPATIE",
        "name_prefix": "Mrs.",
        "credential": "EJD, MSN, APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110242",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "110242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.