Individual provider Active NPI

Valarmathi Sundar, MD

  • Family Medicine Physician
  • Henderson, NC
National Provider Identifier
1467420182
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200100477 Issued in NC
Practice address
511 Ruin Creek Rd
Suite: 203
Henderson, NC 27536-5919
Phone
(252) 492-6127
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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 200100477 NC Primary

Addresses

Primary practice location

511 Ruin Creek Rd
Suite: 203
Henderson, NC 27536-5919

Mailing address

511 Ruin Creek Rd
Suite: 203
Henderson, NC 27536-5919
Phone (252) 492-6127

Other identifiers 1

IdentifierTypeStateIssuer
89130XHMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101006000906 NC Practitioner - Family Practice 0042402265 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sundar Internal Medicine Associates, PA Family Medicine CurrentSince Apr 1, 2002 Accepting new patients
Champion Health System, PA Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Eagle Peak LTC Group, LLC Past Accepting new patients

Locations

710 Erwin Rd
Dunn, NC 28334
Phone (910) 304-1212

511 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-0440

511 Ruin Creek Rd
Ste 203
Henderson, NC 27536
Phone (252) 432-6127

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kerr Lake Nursing and Rehabilitation CenterHenderson, NC, CCN 345321 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF
Jan 1, 2025
Jun 11, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1467420182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD",
            "address_2": "SUITE: 203",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-492-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD",
            "address_2": "SUITE: 203",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-492-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAR",
        "first_name": "VALARMATHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200100477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130XH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.