Organization Active NPI

Sushma Indukuri Medical Corporation

  • Pediatrics Physician
  • Tracy, CA
National Provider Identifier
1497511448
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUSHMA INDUKURI MEDICAL CORPORATION
Practice address
530 W Eaton Ave Ste B
Tracy, CA 95376-3454
Phone
(209) 445-9427
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Sushma Indukuri, MDNPI 1437527348
Title
Doctor
Phone
(209) 445-9427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

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

Mailing address

120 W Ladd Dr
Mountain House, CA 95391-1363
Phone (209) 445-9427

Other names 1

  • Sunrise Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2318139Sushma Indukuri Medical Corporation530 W Eaton Ave, Ste B, Tracy, CA 95376Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1497511448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W LADD DR",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911363",
            "telephone_number": "209-445-9427"
        },
        {
            "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": "209-445-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHMA INDUKURI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "INDUKURI",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "209-445-9427",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.