Sujan Kumar Vadarevu, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD-41937 Issued in IA

Practice address

1410 N 4TH St
Clinton, IA 52732-2940

Phone

(563) 244-5555

NPI assigned

Jul 1, 2010

Last updated

Sep 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Iowa PCGroup PAC ID 3779517941, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058
• Mercy Medical Center - Cedar Rapids Inpatient rehabilitation facility, Cedar Rapids, IA, CCN 16T079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Eastern Iowa Health Center

  dba Eastern Iowa Health Center Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1346048675
  NPD (past)
• Eastern Iowa Health Center

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1578753703
  NPD (past)
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center

  dba Mercy Inpatient Rehabilitation

  • Rehabilitation Hospital Unit
  • Cedar Rapids, IA
  • NPI 1467639062

  Inpatient rehabilitation facility

  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• State University of Iowa

  dba University of Iowa Health Care Medical Center

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1376544320
  Care Compare affiliation

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1073824306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "563-244-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "563-244-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAREVU",
        "first_name": "SUJAN",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-41937",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD-41937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kami Lee Tubbs, ARNP
• Brian Evan Tugana, M.D.
• Shelbyjo Marie Tweedell
• Joseph Ian Ulloa
• Barbara Rose Untz, OSFMS
• Ashley Vasquez
• Kayla Marie Veler
• Vanessa Verne
• Emily Vickers, PT, DPT, PCS
• Vijay Puri DC PC

• Hospitalist Physician in Clinton, IA
• Providers in Clinton, IA by specialty
• Hospitalist Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.