Sujatha Nilavar, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

097841 Issued in OH

Practice address

307 S 13TH St
Suite 200
Mount Vernon, WA 98274-4100

Phone

(360) 848-8500

Fax

(360) 419-3700

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• VA Puget Sound Health Care System

  • VA Clinic/Center
  • Mount Vernon, WA
  • NPI 1275707812
  NPD (past) Authorized official

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1821401696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST",
            "address_2": "SUITE 200",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-848-8500",
            "fax_number": "360-419-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST",
            "address_2": "SUITE 200",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-848-8500",
            "fax_number": "360-419-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILAVAR",
        "first_name": "SUJATHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "097841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Newman-Kennedy, PH.D., CCC
• Ngochanh Hoang Nguyen, D.O.
• Peter Nguyen, DO
• Vivian Nguyen, PHARM.D
• Nichole Carubia Speech Language Pathology LLC
• Gail M. Noble-Sanderson, SLP
• Jessica K Noblet, DC
• Rebecca Anne Noel, RN
• Nanette S Noma, MA, SUDP
• Susie Myer Norris, M.D.

• Adult Medicine Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.