Individual provider Active NPI

Suman Prasad

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1760460349
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200301403 Issued in NC
Practice address
1417 W Pettigrew St
Durham, NC 27705-4820
Phone
(919) 286-7705
NPI assigned
Jan 4, 2006
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200301403 NC Primary

Addresses

Primary practice location

1417 W Pettigrew St
Durham, NC 27705-4820

Mailing address

3521 Forest Oaks Dr
Chapel Hill, NC 27514-7417
Phone (919) 636-0461

Other identifiers 1

IdentifierTypeStateIssuer
89137P5MedicaidNC

Other names 1

  • Dr. Suman Kumari Singh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040929000465 NC Practitioner - Internal Medicine 2264401926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1417 W Pettigrew St
Durham, NC 27705-4820
Phone (919) 428-2904

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200301403NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SP Internal Medicine P.C. Internal Medicine CurrentSince Nov 22, 2010 Accepting new patients
Howe Avenue Medical Services, PC Internal Medicine Past Accepting new patients

Locations

1417 W Pettigrew St
Durham, NC 27705
Phone (919) 286-7705

1815 Martin Luther King Pkwy
Durham, NC 27707

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.

Hospital & facility affiliations 2

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1760460349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 FOREST OAKS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147417",
            "telephone_number": "919-636-0461",
            "fax_number": "919-428-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W PETTIGREW ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054820",
            "telephone_number": "919-286-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SUMAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200301403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137P5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMAN",
            "last_name": "SINGH",
            "middle_name": "KUMARI",
            "prefix": "DR.",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.