Individual provider Active NPI

Sundaram Hariharan, MD

  • Nephrology Physician
  • Pittsburgh, PA
National Provider Identifier
1619928447
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
37331 Issued in WI
Practice address
3459 5TH Ave
7 South
Pittsburgh, PA 15213-3236
Phone
(412) 647-5800
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 37331 WI Primary

Addresses

Primary practice location

3459 5TH Ave
7 South
Pittsburgh, PA 15213-3236

Mailing address

200 Lothrop St
Suite 9055 Forbes Tower
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Other identifiers 2

IdentifierTypeStateIssuer
32202800MedicaidWI
002000197EOtherHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120227000249 PA Practitioner - NephrologyPractitioner - General SurgeryPractitioner - Internal Medicine 3173512522 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37331WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2012 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2012 Accepting new patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

117 Vip Dr
Ste 120
Wexford, PA 15090
Phone (412) 586-9700

555 Redbird Cir
Ste 200
De Pere, WI 54115
Phone (920) 338-6820

2400 W Villard Ave
Glendale, WI 53209
Phone (414) 527-8000

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1619928447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "SUITE 9055 FORBES TOWER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 5TH AVE",
            "address_2": "7 SOUTH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133236",
            "telephone_number": "412-647-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIHARAN",
        "first_name": "SUNDARAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "37331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32202800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "002000197E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.