Organization Active NPI

Dr. Sudhakar Tumuluri, P.C.

  • Rheumatology Physician
  • Redwood City, CA
National Provider Identifier
1649437344
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A85788 Issued in CA
Legal business name
DR. SUDHAKAR TUMULURI, P.C.
Practice address
80 Arch St
Suite a
Redwood City, CA 94062-1487
Phone
(650) 362-4111
Fax
(650) 362-4113
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Sudhakar Tumuluri, M.D.NPI 1639181670
Title
President
Phone
(408) 866-1135

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X A85788 CA Primary

Addresses

Primary practice location

80 Arch St
Suite a
Redwood City, CA 94062-1487

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000212 CA Part B Supplier - Clinic/Group Practice 5395807754 Receives reassigned benefits from 1 practitioner
Practice locations: Redwood City, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1649437344",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUDHAKAR TUMULURI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "TUMULURI",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-866-1135",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A85788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.