Active NPI
Uma Suryadevara, MD
- Hematology & Oncology Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A79095
- Practice address
- 2001 Dwight Way
Berkeley, CA 94704-2608 - Phone
- (510) 204-1591
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | A79095 | CA | Primary |
Addresses
Primary practice location
2001 Dwight Way
Berkeley, CA 94704-2608
Mailing address
3687 Mt Diablo Blvd
Suite 200
Lafayette, CA 94549-3717
Phone (916) 854-6975
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421000831 | CA | Practitioner - Hematology/Oncology | 8426044918 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2001 Dwight Way
Berkeley, CA 94704-2608
Phone (510) 204-1591
Hospital & facility affiliations
- Sutter Care at Home
- Alta Bates Summit Medical Center - Alta Bates Camp
- Alta Bates Summit Medical Center
- Eden Medical Center
- California Pacific Medical Center- Van Ness Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79095 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660
12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180
795 El Camino Real
#1112
Palo Alto, CA 94301
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
Interoperability endpoints
- usuryadevara237986@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Orinda, CA
- NPI 1366898538
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Concord, CA
- NPI 1083643944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1750487385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3687 MT DIABLO BLVD",
"address_2": "SUITE 200",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493717",
"telephone_number": "916-854-6975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 DWIGHT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042608",
"telephone_number": "510-204-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURYADEVARA",
"first_name": "UMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A79095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.