Organization Active NPI

Sankoorikal Family Medicine PLLC

  • Primary Care Clinic/Center
  • Ridgeland, MS
National Provider Identifier
1447050828
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SANKOORIKAL FAMILY MEDICINE PLLC
Practice address
261 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8855
Phone
(601) 287-4317
Fax
(601) 429-9273
NPI assigned
Mar 15, 2025
Last updated
Mar 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Authorized official

Name
Vineeth-Joseph John Sankoorikal, MDNPI 1396199840
Title
Physician, Owner
Phone
(601) 287-4317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

261 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8855

Mailing address

261 Trace Colony Park Drive
Ste B
Ridgeland, MS 39157-8730
Phone (601) 287-4317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606002189 MS Part B Supplier - Clinic/Group Practice 2163932344 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2325411Sankoorikal Family Medicine PLLC261 Trace Colony Park Drive Ste B, Ridgeland, MS 39157Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

261 Trace Colony Park Dr
Ste B
Ridgeland, MS 39157
Phone (601) 287-4317

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1447050828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 TRACE COLONY PARK DRIVE",
            "address_2": "STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578730",
            "telephone_number": "601-287-4317",
            "fax_number": "601-429-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 TRACE COLONY PARK DR STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578855",
            "telephone_number": "601-287-4317",
            "fax_number": "601-429-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOORIKAL FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "SANKOORIKAL",
        "authorized_official_first_name": "VINEETH-JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "601-287-4317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.