Individual provider Active NPI

Suma Shankar Magge, MD

  • Gastroenterology Physician
  • Stamford, CT
National Provider Identifier
1619134392
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
051696 Issued in CT
Practice address
101 Washington Blvd
Apt 1019
Stamford, CT 06902-6844
Phone
(617) 784-5737
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 051696 CT Primary
Internal Medicine Physician 207R00000X 051696 CT

Addresses

Primary practice location

101 Washington Blvd
Apt 1019
Stamford, CT 06902-6844

Mailing address

40 Cross St
FL 4
Norwalk, CT 06851-4647
Phone (203) 845-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130711000116 CT Practitioner - GastroenterologyPractitioner - Internal Medicine 6103975057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

195 Danbury Rd
Wilton, CT 06897-4075
Phone (203) 563-0230

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 762-5588

40 Cross St
Norwalk, CT 06851-4647
Phone (203) 546-3377

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy94
Upper gastrointestinal (GI) endoscopy for acid reflux103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051696CTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
Norwalk Hospital Association CurrentSince Jun 19, 2013 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine CurrentSince Dec 8, 2014 Accepting new patients
Norwalk Hospital Association CurrentSince Jun 19, 2013 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

38 East Ave
New Canaan, CT 06840
Phone (203) 594-9520

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

30 Stevens St
Norwalk, CT 06850
Phone (203) 852-2262

40 Cross St
Fl 4
Norwalk, CT 06851
Phone (203) 845-4800

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

428 Hartford Tpke
Ste 207
Vernon Rockville, CT 06066
Phone (860) 872-5426

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

Interoperability endpoints

  • Direct secure messaging: smagge2389533@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1619134392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSS ST",
            "address_2": "FL 4",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514647",
            "telephone_number": "203-845-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WASHINGTON BLVD",
            "address_2": "APT 1019",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026844",
            "telephone_number": "617-784-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGE",
        "first_name": "SUMA",
        "middle_name": "SHANKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "051696",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "051696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.