Individual provider Active NPI

Suman Sharma Duvedi, M.D.

  • Pediatrics Physician
  • Laurel, MD
National Provider Identifier
1720244890
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0069281 Issued in MD
Practice address
11200 Scaggsville Rd Ste 120
Laurel, MD 20723-2024
Phone
(240) 360-5992
Fax
(855) 371-0566
NPI assigned
Jul 29, 2008
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 D0069281 MD Primary

Addresses

Primary practice location

11200 Scaggsville Rd Ste 120
Laurel, MD 20723-2024

Mailing address

11200 Scaggsville Rd Ste 120
Laurel, MD 20723-2024
Phone (240) 360-5992

Other identifiers 1

IdentifierTypeStateIssuer
024466000MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.vcarepediatrics.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200420001994 MD Practitioner - Pediatric Medicine 8820428675 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069281MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19936/brand/1/csg/1/fhir/r4
  • Direct secure messaging: suman.duvedi.1@19936.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1720244890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SCAGGSVILLE RD STE 120",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207232024",
            "telephone_number": "240-360-5992",
            "fax_number": "855-371-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SCAGGSVILLE RD STE 120",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207232024",
            "telephone_number": "240-360-5992",
            "fax_number": "855-371-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVEDI",
        "first_name": "SUMAN",
        "middle_name": "SHARMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0069281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024466000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.vcarepediatrics.com",
            "affiliation": "N",
            "address_1": "11200 Scaggsville Rd Ste 120",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207232024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.