Active NPI
Sruthi Shankar
- Student in an Organized Health Care Education/Training Program
- Minneapolis, MN
National Provider Identifier
1417692799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 420 Delaware Street SE
Mayo Mail Code 195
Minneapolis, MN 55455 - Phone
- (612) 626-1999
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
420 Delaware Street SE
Mayo Mail Code 195
Minneapolis, MN 55455
Mailing address
420 Delaware Street SE
Mayo Mail Code 195
Minneapolis, MN 55455
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220916003047 | MN | Order and Referring Only - General Surgery | 7719362375 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1417692799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE STREET SE",
"address_2": "MAYO MAIL CODE 195",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE STREET SE",
"address_2": "MAYO MAIL CODE 195",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-626-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKAR",
"first_name": "SRUTHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.