Prethi Sundaram-Mohip, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS9927 Issued in FL

Practice address

13660 Jog Road
S.8
Delray Beach, FL 33437-6157

Phone

(561) 637-4040

Fax

(561) 637-2698

NPI assigned

Apr 24, 2008

Last updated

Dec 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Prithi Sundaram Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as individual

Promoting interoperability

89

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skin and Cancer Associates

  • Dermatology Physician
  • Plantation, FL
  • NPI 1427017292
  Medicare reassignment Care Compare group NPD
• Skin and Cancer Associates

  • Dermatology Physician
  • Plantation, FL
  • NPI 1740737576
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1427223155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 JOG ROAD",
            "address_2": "S.8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334376157",
            "telephone_number": "561-637-4040",
            "fax_number": "561-637-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 JOG ROAD",
            "address_2": "S.8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334376157",
            "telephone_number": "561-637-4040",
            "fax_number": "561-637-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARAM-MOHIP",
        "first_name": "PRETHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRITHI",
            "last_name": "SUNDARAM",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cecilia Maraguinot Sularte-Garcia, PT
• Dani Sullivan, LCSW, MSW
• Michael Sullivan II
• Sun Bright Inc (Sun Bright Rehabilitation)
• Suncare Medical Corp (Suncare Medical)
• Verna Sunkara
• Sunlife Live-Ins & More Homecare Services, LLC
• Sunny Days of Palm Beach CMHC Inc
• Sunset Labs, LLC
• Sunshine Medical Pros, LLC

• Dermatology Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.