Individual provider Active NPI

Sruthi Sundaram, MD

  • Nephrology Physician
  • Roseville, CA
National Provider Identifier
1194352625
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A201587 Issued in CA
Practice address
151 N Sunrise Ave Ste 1202
Roseville, CA 95661-2932
Phone
(916) 789-1505
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A201587 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave Ste 1202
Roseville, CA 95661-2932

Mailing address

151 N Sunrise Ave Ste 1202
Roseville, CA 95661-2932
Phone (916) 789-1505

Other practice location 1

11969 Heritage Oak Pl
Auburn, CA 95603-2461
Phone (530) 878-5950

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20201216000023 NV Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9436561404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A201587CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ssundaram741239@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1194352625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1202",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612932",
            "telephone_number": "916-789-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1202",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612932",
            "telephone_number": "916-789-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11969 Heritage Oak Pl",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956032461",
            "country_code": "US",
            "telephone_number": "530-878-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDARAM",
        "first_name": "SRUTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A201587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.