Individual provider Active NPI

Sushma Indukuri, MD

  • Pediatrics Physician
  • Tracy, CA
National Provider Identifier
1437527348
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
137942 Issued in CA
Practice address
530 W Eaton Ave Ste B
Tracy, CA 95376-3454
Phone
(209) 835-9029
Fax
(209) 834-5028
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 137942 CA
Pediatrics Physician 208000000X 137942 CA Primary

Addresses

Primary practice location

530 W Eaton Ave Ste B
Tracy, CA 95376-3454

Mailing address

530 W Eaton Ave Ste B
Tracy, CA 95376-3454
Phone (209) 835-9029

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222002551 CA Practitioner - Pediatric Medicine 8325343874 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137942CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation Pediatrics CurrentSince Nov 18, 2021 Accepting new patients
Sushma Indukuri Medical Corporation Pediatrics PastSince Mar 3, 2024 Accepting new patients

Locations

1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188

Interoperability endpoints

  • Direct secure messaging: sindukuri797921@direct.ochin.org
  • Direct secure messaging: sushma.indukuri.p1@direct.cmcentersinc.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1437527348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE STE B",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763454",
            "telephone_number": "209-835-9029",
            "fax_number": "209-834-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE STE B",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763454",
            "telephone_number": "209-835-9029",
            "fax_number": "209-834-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDUKURI",
        "first_name": "SUSHMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "137942",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "137942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.