Individual provider Active NPI

Rohit Umeshchandra Sudrik, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1740177302
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045111 Issued in PA
Practice address
Green Tree Road, 100 Chatham Park Dr Apt 101
Pittsburgh, PA 15220
Phone
(412) 344-8080
Fax
(412) 375-7624
NPI assigned
Jun 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045111 PA Primary

Addresses

Primary practice location

Green Tree Road, 100 Chatham Park Dr Apt 101
Pittsburgh, PA 15220

Mailing address

Green Tree Road, 100 Chatham Park Dr Apt 101
Pittsburgh, PA 15220
Phone (412) 344-8080

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526003442 PA Order and Referring Only - DentistPractitioner - Dentist 5597235010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS045111PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1740177302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GREEN TREE ROAD, 100 CHATHAM PARK DR APT 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15220",
            "telephone_number": "412-344-8080",
            "fax_number": "412-375-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREEN TREE ROAD, 100 CHATHAM PARK DR APT 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15220",
            "telephone_number": "412-344-8080",
            "fax_number": "412-375-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDRIK",
        "first_name": "ROHIT",
        "middle_name": "UMESHCHANDRA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.