Active NPI
Belanje Sudhakara Hegde, MD
- Diagnostic Radiology Physician
- Tallahassee, FL
National Provider Identifier
1578664769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308539500 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23629 | FL | MD | Diagnostic Radiology Physician |
| 019952 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Diagnostic Radiology Physician
- Tallahassee, FL
- NPI 1972613560
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
- Pharmacy
- Gainesville, FL
- NPI 1497645915
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.