Organization Active NPI

Pikeville Neurology Clinic & Diagnostic Center PSC

  • Neurology Physician
  • Pikeville, KY
National Provider Identifier
1043530371
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PIKEVILLE NEUROLOGY CLINIC & DIAGNOSTIC CENTER PSC
Practice address
515 N Bypass Rd
Suite 101
Pikeville, KY 41501-1331
Phone
(606) 437-4100
Fax
(606) 432-6009
NPI assigned
Jun 9, 2010
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sujata Gutti, M.D.NPI 1831299346
Title
President
Phone
(606) 437-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

515 N Bypass Rd
Suite 101
Pikeville, KY 41501-1331

Mailing address

PO Box 2158
Pikeville, KY 41502-2158
Phone (606) 437-4100

Other identifiers 1

IdentifierTypeStateIssuer
64327711MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610000897 KY Part B Supplier - Clinic/Group Practice 8224168695 Receives reassigned benefits from 1 practitioner
Practice locations: Pikeville, KY

National Provider Directory

National Provider Directory

Locations

515 Bypass Rd
Pikeville, KY 41501
Phone (606) 437-4100

515 Bypass Rd
Ste 101
Pikeville, KY 41501
Phone (606) 437-4100

361 Highway 119 N
Whitesburg, KY 41858
Phone (606) 437-4100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1043530371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2158",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022158",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N BYPASS RD",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011331",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE NEUROLOGY CLINIC & DIAGNOSTIC CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "GUTTI",
        "authorized_official_first_name": "SUJATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-437-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64327711",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.