Individual provider Active NPI

Soogandaren Naidoo, MD

  • Pediatrics Physician
  • North Platte, NE
National Provider Identifier
1659677342
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
26846 Issued in NE
Practice address
611 W Francis St Ste 200
North Platte, NE 69101-0614
Phone
(308) 534-9230
Fax
(308) 534-5016
NPI assigned
Jan 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26846 NE Primary

Addresses

Primary practice location

611 W Francis St Ste 200
North Platte, NE 69101-0614

Mailing address

611 W Francis St Ste 200
North Platte, NE 69101-0614
Phone (308) 534-9230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20130810000096 NE Practitioner - Pediatric Medicine 2769624345 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Pediatrics CurrentSince Apr 8, 2018 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Physician Group LLC Past Accepting new patients

Locations

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

625 W William Ave
Ste 130
North Platte, NE 69101
Phone (308) 568-7390

Organizations & group practices 3

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1659677342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 200",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-534-9230",
            "fax_number": "308-534-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 200",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-534-9230",
            "fax_number": "308-534-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDOO",
        "first_name": "SOOGANDAREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "26846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.