Sujatha R Ayyagari, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

109717 Issued in MO

Practice address

1103 W Liberty St
Farmington, MO 63640-1921

Phone

(573) 756-6751

NPI assigned

May 9, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://pmh-vmhaiku-01.pmh.org/FHIR/PARKLAND/api/FHIR/R4
• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: sayyagari11402@direct.carenet.org
• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Parkland Health Center

  • General Practice Physician
  • Farmington, MO
  • NPI 1922016112

  MO

  Medicare reassignment NPD
• Parkland Health Center

  • Rural Health Clinic/Center
  • Farmington, MO
  • NPI 1427806413
  NPD
• Community Health Care Associates, Inc

  • Family Medicine Physician
  • Fredericktown, MO
  • NPI 1134695703
  NPD (past)
• Parkland Health Center

  • General Acute Care Hospital
  • Farmington, MO
  • NPI 1003824061
  NPD (past)
• Parkland Health Center

  • Clinical Medical Laboratory
  • Farmington, MO
  • NPI 1891303053
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1922057751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W LIBERTY ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401921",
            "telephone_number": "573-756-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W LIBERTY ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401921",
            "telephone_number": "573-756-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYYAGARI",
        "first_name": "SUJATHA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "109717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1103 W Liberty St",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Audiology & Hearing Center of Farmington, Inc
• Audiology & Hearing Center of Farmington, Inc
• Avalon Obstetrics and Gynecology, P.C.
• Troy Constant Avendanio
• Axes Physical Therapy, LLC
• Joan Azoury, M.D
• Lauren Gabrielle Azoury, FNP
• Christine Bacon
• Bailey Street Residential Care 1
• Aaron Baker, DPT

• All providers in Farmington, MO
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.