Individual provider Active NPI

Sheila Sudhakar, MD

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1780654400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30225 Issued in AZ
Practice address
1717 W Chandler Blvd
Chandler, AZ 85224-6145
Phone
(480) 821-7565
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30225 AZ Primary

Addresses

Primary practice location

1717 W Chandler Blvd
Chandler, AZ 85224-6145

Mailing address

1717 W Chandler Blvd
Chandler, AZ 85224-6145
Phone (480) 821-7565

Other identifiers 1

IdentifierTypeStateIssuer
729246MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040615000641 AZ Practitioner - Internal Medicine 2062496334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30225AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Dec 31, 2019 Accepting new patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

Interoperability endpoints

  • Direct secure messaging: sheila.sudhakar.1@5919.direct.athenahealth.com
  • Direct secure messaging: ssudhakar9138@evernorth.direct-ci.com

Organizations & group practices 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780654400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246145",
            "telephone_number": "480-821-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246145",
            "telephone_number": "480-821-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDHAKAR",
        "first_name": "SHEILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.