Active NPI
Anitha Somasundaram, MD
- Endocrinology, Diabetes & Metabolism Physician
- West Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD458813
- Practice address
- 795 E Marshall St
Suite G2
West Chester, PA 19380-4400 - Phone
- (610) 431-7929
- Fax
- (610) 594-2625
- NPI assigned
- May 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD458813 | PA | Primary |
Addresses
Primary practice location
795 E Marshall St
Suite G2
West Chester, PA 19380-4400
Mailing address
412 Creamery Way
Suite 400
Exton, PA 19341-2551
Phone (610) 594-7590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032039120001 | Medicaid | PA |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Gateway Medical Specialists, LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448
1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532
1088 W Baltimore Pike
Ste 2500
Media, PA 19063
Phone (610) 565-2449
1098 W Baltimore Pike
Ste 3303
Media, PA 19063
Phone (610) 532-1300
795 E Marshall St
Ste G2
West Chester, PA 19380
Phone (610) 431-2971
Interoperability endpoints
- anithasomasundaram@gmacc.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- West Chester, PA
- NPI 1912429739
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1750674909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 CREAMERY WAY",
"address_2": "SUITE 400",
"city": "EXTON",
"state": "PA",
"postal_code": "193412551",
"telephone_number": "610-594-7590",
"fax_number": "610-594-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E MARSHALL ST",
"address_2": "SUITE G2",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193804400",
"telephone_number": "610-431-7929",
"fax_number": "610-594-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMASUNDARAM",
"first_name": "ANITHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD458813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032039120001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.