Individual provider Active NPI

Sumathi Sundar, MD

  • Pediatrics Physician
  • Kennett Square, PA
National Provider Identifier
1902871239
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD427867 Issued in PA
Practice address
817 E Baltimore Pike Ste a
Kennett Square, PA 19348-1929
Phone
(610) 444-0113
Fax
(610) 444-0744
NPI assigned
Feb 21, 2006
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C10007776 DE
Pediatrics Physician 208000000X MD427867 PA Primary
General Practice Physician 208D00000X C10007776 DE

Addresses

Primary practice location

817 E Baltimore Pike Ste a
Kennett Square, PA 19348-1929

Mailing address

817 E Baltimore Pike Ste a
Kennett Square, PA 19348-1929
Phone (610) 444-0113

Other identifiers 1

IdentifierTypeStateIssuer
1902871239MedicaidDE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD427867PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital of Philadelphia Pediatrics CurrentSince Oct 23, 2022 Accepting new patients
Children's Hospital of Philadelphia CurrentSince Oct 23, 2022 Accepting new patients
Children's Hospital of Philadelphia Pediatrics Past Accepting new patients
Howard Z Borin MD LLC Pediatrics Past Accepting new patients

Locations

817 E Baltimore Pike
Ste A
Kennett Square, PA 19348
Phone (610) 444-0113

Interoperability endpoints

  • Direct secure messaging: ssundar6931@direct.nemours.org

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1902871239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E BALTIMORE PIKE STE A",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481929",
            "telephone_number": "610-444-0113",
            "fax_number": "610-444-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E BALTIMORE PIKE STE A",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481929",
            "telephone_number": "610-444-0113",
            "fax_number": "610-444-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAR",
        "first_name": "SUMATHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10007776",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD427867",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C10007776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902871239",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.