Individual provider Active NPI

Sunitha Rani Sura, M.D.

  • Pediatric Endocrinology Physician
  • Farmington, CT
National Provider Identifier
1770889651
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
55477 Issued in CT
Practice address
505 Farmington Ave
Suite 200 Pediatric Endocrinology
Farmington, CT 06032-1901
Phone
(860) 837-6700
Fax
(860) 837-6765
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 55477 CT Primary

Addresses

Primary practice location

505 Farmington Ave
Suite 200 Pediatric Endocrinology
Farmington, CT 06032-1901

Mailing address

505 Farmington Ave
Suite 200 Pediatric Endocrinology
Farmington, CT 06032-1901
Phone (860) 837-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssura7335@connecticutchildrens.direct-ci.com Connecticut Children's Specialty Group, Inc.

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
I20161018000933 CT Practitioner - Endocrinology 9537328067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 Farmington Ave
Farmington, CT 06032-1901
Phone (860) 545-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55477CTMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Pediatric Endocrinology CurrentSince Sep 1, 2016 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatric Endocrinology CurrentSince Sep 1, 2016 Accepting new patients
Connecticut Children'S Medical Center Past Accepting new patients

Locations

105 Newtown Rd
#A
Danbury, CT 06810
Phone (860) 545-9395

60 Hartland St
East Hartford, CT 06108

505 Farmington Ave
Farmington, CT 06032
Phone (860) 837-6700

505 Farmington Ave
Ste 200
Farmington, CT 06032
Phone (860) 837-6700

505 Farmington Ave
Fl 2
Farmington, CT 06032
Phone (860) 837-6700

310 Western Blvd
Glastonbury, CT 06033
Phone (860) 837-9877

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

85 Seymour St
Ste 805
Hartford, CT 06106
Phone (860) 249-9175

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

191 Post Rd W
#1
Westport, CT 06880

Interoperability endpoints

  • Direct secure messaging: ssura7335@connecticutchildrens.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1770889651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FARMINGTON AVE",
            "address_2": "SUITE 200 PEDIATRIC ENDOCRINOLOGY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321901",
            "telephone_number": "860-837-6700",
            "fax_number": "860-837-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FARMINGTON AVE",
            "address_2": "SUITE 200 PEDIATRIC ENDOCRINOLOGY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321901",
            "telephone_number": "860-837-6700",
            "fax_number": "860-837-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURA",
        "first_name": "SUNITHA",
        "middle_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CT",
            "license": "55477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssura7335@connecticutchildrens.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Connecticut Children's Specialty Group, Inc.",
            "address_1": "505 Farmington Ave",
            "address_2": "Suite 200 Pediatric Endocrinology",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060321901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.