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Deactivated NPI 1992777346 Deactivated / Inactive NPI Male Practitioner

Dr. Sumanta Mitra , MD

Internal Medicine - Nephrology • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sumanta Mitra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2006
NPI Deactivation Date January 09, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Sumanta Mitra, MD was a registered Internal Medicine - Nephrology practicing in Springfield, IL. Throughout an active medical career spanning 12 years, Dr. Mitra provided care at the practice location at 932 N RUTLEDGE ST until profile deactivation on 2018-01-09.

Practice Location & Contact Primary Location

Practice Address

932 N Rutledge St

Springfield, IL 627023721

Telephone 2175445100
Fax 2177884183

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Springfield, IL (598 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Ashley Cox , LCPC

Counselor - Professional

NPI 1508364399

Licensed Clinical Professional Counselor

Kimberly Madison , PT

Physical Therapist

NPI 1528555901

Physical Therapist

Mary Hernan , LCSW

Social Worker - Clinical

NPI 1609286327

Licensed Clinical Social Worker

Maureen Egizii

Physical Therapist

NPI 1619374675
Janice Dowell , RD

Dietitian, Registered

NPI 1699208512

Registered Dietitian

Wendi Schutte , LCSW

Social Worker - Clinical

NPI 1780919704

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 09, 2018

Record deactivated on January 09, 2018

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 932 N RUTLEDGE ST, SPRINGFIELD, IL 627023721 (Tel: 2175445100)

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Updated Business Mailing Address July 09, 2007

Registered at 932 N RUTLEDGE ST, SPRINGFIELD, IL 627023721 (Tel: 2175445100)

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Provider Name / Credentials Updated July 09, 2007

Recorded as SUMANTA MITRA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Internal Medicine

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Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992777346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: July 09, 2007
Deactivation Date: January 09, 2018

Mailing Address

932 N Rutledge St

Springfield, IL 627023721

Phone: 2175445100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.