NPIMap

Individual provider Active NPI

Michael Anand Sundararaman, MD

  • Emergency Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1710096631
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29596 Issued in SC
Practice address
222 South Herlong Avenue
Rock Hill, SC 29732
Phone
(803) 329-6849
Fax
(803) 985-4538
NPI assigned
Aug 30, 2006
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2006-136392 NC
Emergency Medicine Physician 207P00000X 29596 SC Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 27168 WV

Addresses

Primary practice location

222 South Herlong Avenue
Rock Hill, SC 29732

Mailing address

222 South Herlong Avenue
Rock Hill, SC 29732
Phone (803) 329-6849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101002135 WV Practitioner - Emergency Medicine 7810998119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Hill Emergency Physicians, LLCGroup PAC ID 8123292950, 9 clinicians

Practice addresses (Care Compare)

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 793-2220

430 Main St W
Oak Hill, WV 25901-3414
Phone (304) 647-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP763KYMDEmergency Medicine Physician
2006-136392NCMDEmergency Medicine Physician
27168WVMDEmergency Medical Services (Emergency Medicine) Physician
29596SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Aug 7, 2016 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Feb 26, 2021 Accepting new patients
Oak Hill Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 30, 2024 Accepting new patients
Charleston Area Medical Center, Inc. Emergency Medicine CurrentSince Feb 26, 2021 Accepting new patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients
NC Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients
Cabarrus Emergency Medicine Associates, P.a. Emergency Medicine Past Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: msundararaman108756@direct.wvuhsdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1710096631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOUTH HERLONG AVENUE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-329-6849",
            "fax_number": "803-985-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH HERLONG AVENUE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-329-6849",
            "fax_number": "803-985-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARARAMAN",
        "first_name": "MICHAEL",
        "middle_name": "ANAND",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2006-136392",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "29596",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WV",
            "license": "27168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.