Individual provider Active NPI

Erin Ebaugh Sukhu, MD

  • Pediatrics Physician
  • Garner, NC
National Provider Identifier
1497175616
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2016-02585 Issued in NC
Practice address
1405 Timber Dr E
Garner, NC 27529-6926
Phone
(919) 779-6423
Fax
(919) 662-2021
NPI assigned
Apr 28, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 201412 NC
Pediatrics Physician 208000000X 2016-02585 NC Primary

Addresses

Primary practice location

1405 Timber Dr E
Garner, NC 27529-6926

Mailing address

1921 Falls Valley Dr
Raleigh, NC 27615-3446
Phone (919) 872-0250

Other practice location 1

101 Manning Dr
North Carolina Children's Hospital
Chapel Hill, NC 27514-4220
Phone (919) 966-6669

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-02585NCMDPediatrics Physician
201412NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Doctors LLC Pediatrics Past Accepting new patients
Trusted Doctors LLC Pediatrics PastSince Feb 25, 2024 Accepting new patients
Trusted Doctors LLC Pediatrics PastSince Feb 25, 2024 Accepting new patients
Trusted Doctors LLC Pediatrics PastSince Feb 25, 2024 Accepting new patients
Trusted Doctors LLC Pediatrics PastSince Feb 25, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erin.sukhu@annapeds.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497175616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 FALLS VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153446",
            "telephone_number": "919-872-0250",
            "fax_number": "919-848-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 TIMBER DR E",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296926",
            "telephone_number": "919-779-6423",
            "fax_number": "919-662-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_2": "North Carolina Children's Hospital",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-966-6669",
            "fax_number": "919-966-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUKHU",
        "first_name": "ERIN",
        "middle_name": "EBAUGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "201412",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-02585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.