NPIMap

Individual provider Active NPI

Sushma Tatineni, MD

  • Hematology & Oncology Physician
  • Minneapolis, MN
National Provider Identifier
1659785988
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
69531 Issued in MN
Practice address
910 E 26TH St # 100-200
Minneapolis, MN 55404-4526
Phone
(612) 884-6300
NPI assigned
Jun 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01084146A IN
Hematology & Oncology Physician 207RH0003X 4351042649 MI
Student in an Organized Health Care Education/Training Program 390200000X 11017611A IN
Hematology & Oncology Physician 207RH0003X 69531 MN Primary

Addresses

Primary practice location

910 E 26TH St # 100-200
Minneapolis, MN 55404-4526

Mailing address

2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sushma.tatineni@usoncology.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210807000230 MN Practitioner - Medical OncologyPractitioner - Hematology 1658597273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians

Practice addresses (Care Compare)

10150 Niagara LN N
Suite 100
Maple Grove, MN 55369-7588
Phone (844) 317-4673

1580 Beam Ave
Maplewood, MN 55109-1127
Phone (651) 779-7978

6025 Lake Rd
Suite 110
Woodbury, MN 55125-1709
Phone (651) 735-7414

6545 France Ave S
Suite 210
Edina, MN 55435-2281
Phone (952) 928-2900

910 E 26TH St
Suite 100 200
Minneapolis, MN 55404-4526
Phone (612) 884-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as apm
Quality
72.34
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01084146AINMDInternal Medicine Physician
4351042649MIMDHematology & Oncology Physician
11017611AINMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology, PA Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Sep 1, 2021 Accepting new patients
Indiana University Health, Inc Hematology & Oncology CurrentSince Aug 1, 2020 Accepting new patients
Minnesota Oncology Hematology, PA Internal Medicine Current Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology, PA Internal Medicine Past Accepting new patients
Minnesota Oncology Hematology, PA Internal Medicine Past Accepting new patients
Minnesota Oncology Hematology PA Internal Medicine PastSince Jan 14, 2024 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

2242 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

110105 Pioneer Trl W
Chaska, MN 55318
Phone (952) 361-5800

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

910 E 26th St
Ste 200
Minneapolis, MN 55404
Phone (612) 884-6300

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

Interoperability endpoints

  • Direct secure messaging: sushma.tatineni@moh.ikm.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1659785988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 26TH ST # 100-200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044526",
            "telephone_number": "612-884-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "SUSHMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-14",
        "last_updated": "2022-10-27",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01084146A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4351042649",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017611A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "69531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sushma.tatineni@usoncology.com",
            "affiliation": "N",
            "address_1": "910 E 26th St Ste 200",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554044552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.