Individual provider Active NPI

Sukanya Somasundar, M.D.

  • Family Medicine Physician
  • Cranston, RI
National Provider Identifier
1437173572
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11952 Issued in RI
Practice address
1500 Pontiac Ave
Cranston, RI 02920-4495
Phone
(401) 944-4300
Fax
(401) 464-4071
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD11952 RI Primary

Addresses

Primary practice location

1500 Pontiac Ave
Cranston, RI 02920-4495

Mailing address

1500 Pontiac Ave
Cranston, RI 02920-4495
Phone (401) 944-4300

Other identifiers 1

IdentifierTypeStateIssuer
MD11952OtherRIRI LICENSE #

Other names 1

  • Sukanya Evalappan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20060329000590 RI Practitioner - Family Practice 3678506953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1681 Cranston St
Cranston, RI 02920-5000
Phone (401) 944-6889

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Physicians, LLC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Chartercare Physicians, LLC Family Medicine CurrentSince May 28, 2025 Accepting new patients

Locations

1500 Pontiac Ave
Cranston, RI 02920
Phone (401) 529-1819

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

2138 Mendon Rd
Ste 302
Cumberland, RI 02864
Phone (401) 334-1060

1351 S County Trl
Ste 302
East Greenwich, RI 02818
Phone (401) 471-6405

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

Interoperability endpoints

  • Direct secure messaging: sukanya.somasundar.2@9000.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1437173572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204495",
            "telephone_number": "401-944-4300",
            "fax_number": "401-464-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204495",
            "telephone_number": "401-944-4300",
            "fax_number": "401-464-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMASUNDAR",
        "first_name": "SUKANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD11952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI LICENSE #",
            "identifier": "MD11952",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUKANYA",
            "last_name": "EVALAPPAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.