Sujatha Tadicherla, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME103564 Issued in FL

Practice address

2336 Crestover LN Ste 101
Wesley Chapel, FL 33544-6794

Phone

(813) 606-4144

Fax

(813) 666-1508

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Dermatology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14015/brand/1/csg/1/fhir/r4
• Direct secure messaging: sujatha.tadicherla.1@14015.direct.athenahealth.com

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.

• Wesley Chapel Dermatology LLC

  • Dermatology Physician
  • Wesley Chapel, FL
  • NPI 1407249998
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1700035433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 CRESTOVER LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446794",
            "telephone_number": "813-606-4144",
            "fax_number": "813-666-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 CRESTOVER LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446794",
            "telephone_number": "813-606-4144",
            "fax_number": "813-666-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124745",
            "country_code": "US",
            "telephone_number": "813-972-2000 x2299",
            "fax_number": "813-910-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADICHERLA",
        "first_name": "SUJATHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME103564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergic Healthcare Solutions LLC
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• Wiraya Sysavath
• Gabrielle Szafranski
• Shiva Prasad Tadakal, MD
• Siva Prasanna Tadisetti, M.D.
• Roberto Taglione, M.D., D.D.S.
• Take Care Medspa LLC
• Talking With a Twist Psychotherapy, LLC
• Riley Talko, LMHC

• Dermatology Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.