Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shrutika Sukumar, PA-C

Individual provider Physician Assistant · NPI 1275478554

Shrutika Sukumar, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 2025, 1 year ago. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.010227RX (OH)

Record details

NPI number1275478554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address810 Versailles Dr Apt H, Centerville, OH 45459-6156

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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