TARA SULUR MD
NPI 1407485279
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 03, 2020PECOS Enrolled
833 CHESTNUT ST FL 1, PHILADELPHIA, PA 19107(215) 955-6776 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tara Sulur Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA SULUR MD (NPI 1407485279) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407485279
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA SULURCredential: MD
Location Address833 CHESTNUT ST FL 1Philadelphia, PA 19107-4404
Mailing Address833 Chestnut St Fl 1Philadelphia, PA 19107-4404 · (215) 955-1085
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedApril 3, 2020
NPI 1407485279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST FL 1, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tara Sulur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Nurse Practitioner
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407485279, enumerated as an "individual" on April 03, 2020.

The provider is located at 833 CHESTNUT ST FL 1 PHILADELPHIA, PA 19107 and the phone number is (215) 955-6776.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.