Individual provider Active NPI

Sumithra Rajashekhar, M.D.

  • General Practice Physician
  • El Paso, TX
National Provider Identifier
1831345495
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E9931 Issued in TX
Practice address
11167 Leo Collins Dr
El Paso, TX 79936-4630
Phone
(915) 592-5448
Fax
(915) 633-8044
NPI assigned
Aug 14, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X E9931 TX Primary

Addresses

Primary practice location

11167 Leo Collins Dr
El Paso, TX 79936-4630

Mailing address

11167 Leo Collins Dr
El Paso, TX 79936-4630
Phone (915) 592-5448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150629001547 TX Order and Referring Only - DermatologyPractitioner - Dermatology 7416269899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9931TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1831345495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11167 LEO COLLINS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364630",
            "telephone_number": "915-592-5448",
            "fax_number": "915-633-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11167 LEO COLLINS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364630",
            "telephone_number": "915-592-5448",
            "fax_number": "915-633-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJASHEKHAR",
        "first_name": "SUMITHRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E9931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.