Individual provider Active NPI

Sushma Ramprasad Rao

  • Infectious Disease Physician
  • Norwalk, CT
National Provider Identifier
1770853319
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
53133 Issued in CT
Practice address
761 Main Ave
Norwalk, CT 06851-1080
Phone
(203) 852-2280
Fax
(203) 899-5028
NPI assigned
Jan 12, 2012
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 53133 CT Primary

Addresses

Primary practice location

761 Main Ave
Norwalk, CT 06851-1080

Mailing address

761 Main Ave
Norwalk, CT 06851-1080
Phone (203) 852-2280

Other identifiers 1

IdentifierTypeStateIssuer
1770853319MedicaidCT

Other names 1

  • Sushma Ramprasad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150325000034 CT Practitioner - Internal MedicinePractitioner - Infectious Disease 2668799008 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53133CTMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Infectious Disease CurrentSince Feb 25, 2019 Accepting new patients
Norwalk Community Health Center Inc CurrentSince May 1, 2015 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

30 Stevens St
Norwalk, CT 06850
Phone (203) 852-2262

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

40 Cross St
#4
Norwalk, CT 06851

40 Cross St
Fl 4
Norwalk, CT 06851
Phone (203) 845-4800

40 Cross St
Ste 4
Norwalk, CT 06851
Phone (203) 845-2000

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1770853319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-852-2280",
            "fax_number": "203-899-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-852-2280",
            "fax_number": "203-899-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SUSHMA",
        "middle_name": "RAMPRASAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "53133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770853319",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSHMA",
            "last_name": "RAMPRASAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.