Sumant K Chakravorty, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

650190533 Issued in FL

Practice address

125 W Indiantown Rd
Suite 106
Jupiter, FL 33458-3556

Phone

(561) 748-8103

Fax

(561) 748-0773

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1417045527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674639",
            "telephone_number": "954-344-2522",
            "fax_number": "954-344-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD",
            "address_2": "SUITE 106",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583556",
            "telephone_number": "561-748-8103",
            "fax_number": "561-748-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRAVORTY",
        "first_name": "SUMANT",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "650190533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035047800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard Kevin Champigny III, D.O.
• Tatiana Alexandra Chandler, PA-C
• Michelle Chaney, M.D.

• Gastroenterology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.