Active NPI
Subbarayudu Cuddapah, M.D
- Plastic Surgery Physician
- Bay Pines, FL
National Provider Identifier
1124053749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME 92364
- Practice address
- 10000 Bay Pines Blvd
Bay Pines VA Health Care
Bay Pines, FL 33744 - Phone
- (727) 398-6661
- Fax
- (727) 319-1099
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME 92364 | FL | Primary |
Addresses
Primary practice location
10000 Bay Pines Blvd
Bay Pines VA Health Care
Bay Pines, FL 33744
Mailing address
521 Pinellas Bayway S Apt 408
Tierra Verde, FL 33715-1999
Phone (727) 374-3128
Other names 1
- Subbarayudu Cuddapah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 92364 | FL | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124053749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 PINELLAS BAYWAY S APT 408",
"city": "TIERRA VERDE",
"state": "FL",
"postal_code": "337151999",
"telephone_number": "727-374-3128",
"fax_number": "727-374-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD",
"address_2": "BAY PINES VA HEALTH CARE",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "727-398-6661",
"fax_number": "727-319-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUDDAPAH",
"first_name": "SUBBARAYUDU",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME 92364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUBBARAYUDU",
"last_name": "CUDDAPAH",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bay Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.