NPIMap

Individual provider Active NPI

Gottumukkala Suneela, M.D.

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1225072044
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000039069 Issued in TN
Practice address
2996 Kate Bond Rd
Suite 203
Bartlett, TN 38133-4030
Phone
(901) 382-2044
Fax
(901) 382-2085
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000039069 TN Primary

Addresses

Primary practice location

2996 Kate Bond Rd
Suite 203
Bartlett, TN 38133-4030

Mailing address

2996 Kate Bond Rd
Suite 203
Bartlett, TN 38133-4030
Phone (901) 382-2044

Other identifiers 1

IdentifierTypeStateIssuer
4152593OtherTNBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000853 TN Practitioner - Internal Medicine 9234182411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

8025 US Hwy 64
Suite 101
Bartlett, TN 38133-4038
Phone (901) 382-2044

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Cordova, TN, CCN 447451
  • Adoration Home Health Care West Tennessee Home health agency, Cordova, TN, CCN 447564
  • Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
  • Homechoice Health Services Home health agency, Memphis, TN, CCN 447263
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000039069TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Blakney Current Accepting new patients
Saint Francis Physician Network, LLC Family Medicine CurrentSince Feb 5, 2018 Accepting new patients

Locations

2996 Kate Bond Rd
Ste 203
Bartlett, TN 38133
Phone (901) 300-2970

7845 US Highway 64
#100
Bartlett, TN 38133

8025 US Highway 64
Ste 101
Bartlett, TN 38133
Phone (901) 382-2044

7845 US Highway 64
Ste 100
Bartlett, TN 38133
Phone (901) 625-4778

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

Interoperability endpoints

  • Direct secure messaging: gsuneela26411@mlh.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1225072044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD",
            "address_2": "SUITE 203",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334030",
            "telephone_number": "901-382-2044",
            "fax_number": "901-382-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD",
            "address_2": "SUITE 203",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334030",
            "telephone_number": "901-382-2044",
            "fax_number": "901-382-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNEELA",
        "first_name": "GOTTUMUKKALA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000039069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4152593",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.