Active NPI
Sudeepthi Bandikatla, MD
- Hematology & Oncology Physician
- Conway, SC
National Provider Identifier
1447713995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 93139
- Practice address
- 394 Singleton Ridge Rd
Conway, SC 29526-9150 - Phone
- (843) 347-8050
- Fax
- (843) 347-8049
- NPI assigned
- Apr 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 93139 | SC | Primary |
Addresses
Primary practice location
394 Singleton Ridge Rd
Conway, SC 29526-9150
Mailing address
300 Singleton Ridge Rd
Attention Credentialing
Conway, SC 29526-9142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 931399 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250508001475 | SC | Practitioner - Hematology/Oncology | 7719391424 |
Reassigns benefits to 1 organization 1 other NPI on this enrollment |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conway Hospital Inc
Practice addresses (Care Compare)
394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8050
Hospital & facility affiliations
- Conway Medical Center
- Grand Strand Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93139 | SC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Conway Hospital, Inc. | Past | Accepting new patients |
Locations
394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
Organizations & group practices 4
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.
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
-
- Community Based Hospice Care Agency
- Conway, SC
- NPI 1164121935
-
- Internal Medicine Physician
- Little River, SC
- NPI 1558025783
Hospital & facility affiliations 14
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": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1447713995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"address_2": "ATTENTION CREDENTIALING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269150",
"telephone_number": "843-347-8050",
"fax_number": "843-347-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDIKATLA",
"first_name": "SUDEEPTHI",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "SC",
"license": "93139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "931399",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.