Active NPI
Kempanna Sudhakar, M.D.
- Gastroenterology Physician
- Takoma Park, MD
National Provider Identifier
1427022888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D0019971
- Practice address
- 7610 Carroll Ave
Ste. 230
Takoma Park, MD 20912-6384 - Phone
- (301) 891-2303
- Fax
- (301) 891-2487
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D0019971 | MD | Primary |
Addresses
Primary practice location
7610 Carroll Ave
Ste. 230
Takoma Park, MD 20912-6384
Mailing address
7610 Carroll Ave
Ste. 230
Takoma Park, MD 20912-6384
Phone (301) 891-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79871100 | Medicaid | MD |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0019971 | MD | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbelt Anesthesia Associates, LLC | Current | Accepting new patients | |
| Kempannasudhakar,MD,PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Takoma Park, MD
- NPI 1851747885
-
- Contractor
- Lanham, MD
- NPI 1548216450
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1427022888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE",
"address_2": "STE. 230",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126384",
"telephone_number": "301-891-2303",
"fax_number": "301-891-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE",
"address_2": "STE. 230",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126384",
"telephone_number": "301-891-2303",
"fax_number": "301-891-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDHAKAR",
"first_name": "KEMPANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D0019971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79871100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.