Individual provider Active NPI

Belanje Sudhakara Hegde, MD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
National Provider Identifier
1578664769
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23629 Issued in FL
Practice address
7776 Evening Star Lane
Tallahassee, FL 32312-3555
Phone
(850) 893-8920
Fax
(850) 893-0144
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23629 FL Primary
Diagnostic Radiology Physician 2085R0202X 019952 GA

Addresses

Primary practice location

7776 Evening Star Lane
Tallahassee, FL 32312-3555

Mailing address

7776 Evening Star Lane
Tallahassee, FL 32312-3555
Phone (850) 893-8920

Other identifiers 1

IdentifierTypeStateIssuer
308539500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23629FLMDDiagnostic Radiology Physician
019952GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients
Diagnostic Radiology Inc Diagnostic Radiology Past Accepting new patients
Baker County Medical Services Inc Past Accepting new patients

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1578664769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7776 EVENING STAR LANE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123555",
            "telephone_number": "850-893-8920",
            "fax_number": "850-893-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7776 EVENING STAR LANE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123555",
            "telephone_number": "850-893-8920",
            "fax_number": "850-893-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "BELANJE",
        "middle_name": "SUDHAKARA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "23629",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "019952",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308539500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.