SUNIL KUMAR JAGADESH (NPI# 1932320066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932320066 |
| Entity Type | Individual |
| Full Name | SUNIL KUMAR JAGADESH |
| Practice Address |
3308 Samson Way Bellevue NE 68123-3234 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 4023438650 |
| Practice Fax Number | 4023438655 |
| Mailing Telephone | 4027174380 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25298 | NE | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD-38484 | IA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25298 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICARE PTAN | 098684518 | 01 |
| IA | MEDICARE PTAN | 414530144 | 01 |
| Street Address |
3308 SAMSON WAY |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338166 | Earl R Thompson | Physician Assistant | 3308 Samson Way, Bellevue, NE 68123-3234 | 2005-07-07 |
| 1700264892 | Mark Weilage | Psychologist | 3308 Samson Way, Suite 101, Bellevue, NE 68123-3234 | 2015-05-11 |
| 1497034045 | John E Nunamaker | Counselor | 3308 Samson Way, Suite 203, Bellevue, NE 68123-3234 | 2011-08-15 |
| 1740596576 | Lindsay Grace Stayton | Social Worker | 3308 Samson Way, Bellevue, NE 68123-3234 | 2010-08-31 |
| 1013243922 | Kim Groenjes | Nurse Practitioner | 3308 Samson Way, Suite 203, Bellevue, NE 68123-3234 | 2009-10-28 |
| 1316169196 | Peggy Helen Jones | Obstetrics & Gynecology | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-05-02 |
| 1437373081 | Khalil John Burhan | Family Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-04-13 |
| 1043360043 | John Harris | Internal Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-01-11 |
| 1356491351 | Jeffrey Stearnes | Obstetrics & Gynecology | 3308 Samson Way, Suite 201, Bellevue, NE 68123-3234 | 2007-01-11 |
| 1710036959 | Larry Brown | Internal Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1235595083 | Lawrence Loeb | Internal Medicine | 13808 Ne 36th Pl, Bellevue, WA 98005-1414 | 2016-01-10 |
| 1982952750 | Tianhai Guo | Internal Medicine | 1489 158th Pl Ne, Bellevue, WA 98008-2782 | 2012-08-27 |
| 1346504511 | Peien Fan | Internal Medicine | 1135 116th Ave Ne Ste 500, Bellevue, WA 98004-4627 | 2012-07-02 |
| 1801173901 | Kim-thuy T Truong | Internal Medicine | 1231 116th Avenue Ne, Suite 400, Bellevue, WA 98004 | 2011-11-03 |
| 1295971273 | Wilbur G Fiscus II | Internal Medicine | 1264 Glen Aspen Drive, Bellevue, ID 83313-0419 | 2008-12-23 |
| 1033371463 | Suresh Reddy Mereddy | Internal Medicine | 1414 116th Ave Ne Ste F, Bellevue, WA 98004-3801 | 2008-06-26 |
| 1902083587 | Gaurav Aggarwal | Internal Medicine | 11511 Ne 10th St # E460a, Bellevue, WA 98004-8578 | 2008-01-26 |
| 1962689794 | Lara Maria Kierlin | Internal Medicine | 12826 Se 40th Ln Ste 203, Bellevue, WA 98006-4276 | 2008-01-23 |
| 1710161260 | Kutsys Medical Practice Incorporated | Internal Medicine | 1545 116th Ave Ne Ste 104, Bellevue, WA 98004-3813 | 2007-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.