Active NPI
Deepak Reuben Sukumar, DO
- Student in an Organized Health Care Education/Training Program
- Pompano Beach, FL
National Provider Identifier
1891597597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 201 E Sample Rd
Pompano Beach, FL 33064-3502 - Phone
- (954) 941-8300
- NPI assigned
- Mar 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
201 E Sample Rd
Pompano Beach, FL 33064-3502
Mailing address
201 E Sample Road
Pompano Beach, FL 33064
Other practice location 1
1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone (954) 355-4400
Other practice location 2
6401 N Federal Hwy
Ft Lauderdale, FL 33308-1427
Phone (954) 776-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1891597597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E SAMPLE ROAD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E SAMPLE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330643502",
"telephone_number": "954-941-8300"
}
],
"practiceLocations": [
{
"address_1": "1600 S Andrews Ave",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-355-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6401 N Federal Hwy",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333081427",
"country_code": "US",
"telephone_number": "954-776-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUKUMAR",
"first_name": "DEEPAK",
"middle_name": "REUBEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-25",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.