Individual provider Active NPI

Sudhakar Tumuluri, M.D.

  • Rheumatology Physician
  • San Francisco, CA
National Provider Identifier
1639181670
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A85788 Issued in CA
Practice address
2340 Clay St
FL 6
San Francisco, CA 94115-1932
Phone
(415) 674-5200
Fax
(415) 600-3705
NPI assigned
Aug 11, 2006
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A85788 CA Primary

Addresses

Primary practice location

2340 Clay St
FL 6
San Francisco, CA 94115-1932

Mailing address

80 Arch St
Suite a
Redwood City, CA 94062-1487
Phone (650) 362-4111

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
I20040316000656 CA Practitioner - RheumatologyPractitioner - Internal Medicine 5597655480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2340 Clay St
San Francisco, CA 94115-1932
Phone (415) 674-5200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sudhakar Tumuluri, P.C. Rheumatology CurrentSince Dec 18, 2008 Accepting new patients
Sutter West Bay Medical Foundation PastSince Apr 24, 2018 Accepting new patients

Locations

80 Arch St
Ste A
Redwood City, CA 94062
Phone (650) 362-4111

2340 Clay St
San Francisco, CA 94115
Phone (415) 433-7945

2340 Clay St
Fl 6
San Francisco, CA 94115
Phone (415) 600-3700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sudhakar.tumuluri.p1@direct.arthritis.nextgenshare.com
  • Direct secure messaging: sxt107pcs1919@primeclinicalsystems.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1639181670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ARCH ST",
            "address_2": "SUITE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621487",
            "telephone_number": "650-362-4111",
            "fax_number": "650-362-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST",
            "address_2": "FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "415-674-5200",
            "fax_number": "415-600-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMULURI",
        "first_name": "SUDHAKAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A85788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.