Individual provider Active NPI

Subbarayudu Cuddapah, M.D

  • Plastic Surgery Physician
  • Bay Pines, FL
National Provider Identifier
1124053749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 92364 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 92364FLMDPlastic 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

Verify at the official NPI Registry.