Active NPI
Sowmya Viswanathan, MD
- Internal Medicine Physician
- Manchester, NH
National Provider Identifier
1598748261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18050
- Practice address
- 100 Hitchcock Way
Internal Medicine
Manchester, NH 03104 - Phone
- (603) 695-2500
- NPI assigned
- Nov 27, 2005
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 80591 | MA | |
| Internal Medicine Physician | 207R00000X | 18050 | NH | Primary |
Addresses
Primary practice location
100 Hitchcock Way
Internal Medicine
Manchester, NH 03104
Mailing address
100 Hitchcock Way
Internal Medicine
Manchester, NH 03104
Phone (603) 695-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030074 | Medicaid | VT | |
| 3107899 | Medicaid | NH | |
| 3176169 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80591 | MA | MD | Internal Medicine Physician |
| 18050 | NH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1598748261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HITCHCOCK WAY",
"address_2": "INTERNAL MEDICINE",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03104",
"telephone_number": "603-695-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HITCHCOCK WAY",
"address_2": "INTERNAL MEDICINE",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03104",
"telephone_number": "603-695-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISWANATHAN",
"first_name": "SOWMYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "80591",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "18050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030074",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3107899",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3176169",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
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.