Active NPI
Suneetha Devi Jagarlamudi, M.D.
- Family Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101256708
- Practice address
- 751 S Bascom Ave
San Jose, CA 95128-2699 - Phone
- (408) 885-5000
- NPI assigned
- Jun 25, 2006
- Last updated
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A78229 | CA | |
| Family Medicine Physician | 207Q00000X | 0101256708 | VA | Primary |
Addresses
Primary practice location
751 S Bascom Ave
San Jose, CA 95128-2699
Mailing address
751 S Bascom Ave
San Jose, CA 95128-2699
Phone (408) 885-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
1991 McKee Rd
San Jose, CA 95116-1406
Phone (408) 885-7366
1993 McKee Rd
San Jose, CA 95116-1406
Phone (408) 885-5000
2325 Enborg Lane
San Jose, CA 95128-2604
500 Tully Rd
San Jose, CA 95111-1917
Phone (408) 885-5000
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78229 | CA | MD | Family Medicine Physician |
| 0101256708 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Family Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
750 S Bascom Ave
#1112
San Jose, CA 95128
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Interoperability endpoints
- sjagarlamudi41979@santaclaravalley.direct-ci.net
Organizations & group practices 6
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.
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Family Medicine
-
dba Valley Health Center Alexian
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba Valley Health Center Lundy
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
dba Santa Clara Healthcare- Multi-Specialty Clinic
- Clinic/Center
- Mountain View, CA
- NPI 1912650672
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1205862588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282699",
"telephone_number": "408-885-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282699",
"telephone_number": "408-885-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGARLAMUDI",
"first_name": "SUNEETHA DEVI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2023-12-15",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A78229",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101256708",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "43480 Yukon Dr",
"city": "Ashburn",
"state": "VA",
"country_code": "US",
"postal_code": "201476988",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.