Individual provider Active NPI

Umawattie Sukhraj

  • Durable Medical Equipment & Medical Supplies
  • Port St Lucie, FL
National Provider Identifier
1669152963
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
10026 S US Highway 1
Port St Lucie, FL 34952-5625
Phone
(772) 812-4475
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10026 S US Highway 1
Port St Lucie, FL 34952-5625

Mailing address

2262 SE Wald St
Port St Lucie, FL 34984-4739
Phone (772) 812-4475

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VT Medical Corp Durable Medical Equipment & Medical Supplies Current Accepting new patients
VTSR Medical Corp Durable Medical Equipment & Medical Supplies CurrentSince Dec 1, 2023 Accepting new patients
SMR Medical Corp PastSince Jul 23, 2023 Accepting new patients

Locations

10026 S US Highway 1
Port St Lucie, FL 34952
Phone (347) 255-7226

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1669152963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 SE WALD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844739",
            "telephone_number": "772-812-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10026 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525625",
            "telephone_number": "772-812-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHRAJ",
        "first_name": "UMAWATTIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.