Sudha Sundaram, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD068955L Issued in PA

Practice address

2550 Mosside Blvd
Monroeville, PA 15146

Phone

(412) 457-1100

Fax

(412) 457-0250

NPI assigned

Sep 22, 2006

Last updated

Jun 5, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthquest Behavioral Services, LLC

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1013019405
  NPD (past)
• Mercy Primary Care, Inc

  dba Neonatology Group

  • Neonatal-Perinatal Medicine Physician
  • Pittsburgh, PA
  • NPI 1669556080
  NPD (past)
• Private Physicians Medical Practice, LLC

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1619489283
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1891895819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-457-1100",
            "fax_number": "412-457-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-457-1100",
            "fax_number": "412-457-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARAM",
        "first_name": "SUDHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD068955L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001757848",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Suher, DDS
• Sukhdev S. Grover, MD Associates (Lifecare Medical Associates)
• Cassandra Sullivan, PHARM D
• James Dennis Sullivan, PT
• Regina Helen Summerville, RPH
• Heather Marie Sundin, CRNP
• Nickolas D Surra
• Michael D Swanson, MD
• Sweet Golden Years Home Health Care 4 U LLC
• Paige Swoope

• Family Medicine Physician in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.