NPIMap

Individual provider Active NPI

Mohan Suntha, MD/MBA

  • Radiation Oncology Physician
  • Baltimore, MD
National Provider Identifier
1568477248
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D47618 Issued in MD
Practice address
22 S Greene St
Gudelsky Basement
Baltimore, MD 21201-1544
Phone
(410) 328-3037
Fax
(410) 328-3040
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D47618 MD Primary

Addresses

Primary practice location

22 S Greene St
Gudelsky Basement
Baltimore, MD 21201-1544

Mailing address

PO Box 64620
Baltimore, MD 21264-4620
Phone (410) 328-3037

Other identifiers 1

IdentifierTypeStateIssuer
443861200MedicaidMD

Other names 1

  • Mohan Suntharalingam Other name

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
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
University of Maryland St. Joseph Medical Center, LLC PastSince Nov 1, 2012 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region PastSince Feb 1, 2025 Accepting new patients
Harford Primary Care LLC PastSince Jan 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msuntharalingam45240@direct.umm.edu

Organizations & group practices 4

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1568477248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64620",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644620",
            "telephone_number": "410-328-3037",
            "fax_number": "410-328-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "GUDELSKY BASEMENT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3037",
            "fax_number": "410-328-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNTHA",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "MD/MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D47618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443861200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAN",
            "last_name": "SUNTHARALINGAM",
            "credential": "MD/MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.