Active NPI
Suman S. Kuppahally, MD
- Cardiovascular Disease Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A72494
- Practice address
- 15215 National Ave Ste 105
Los Gatos, CA 95032-2425 - Phone
- (408) 358-3458
- Fax
- (408) 356-6191
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A72494 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A72494 | CA | Primary |
Addresses
Primary practice location
15215 National Ave Ste 105
Los Gatos, CA 95032-2425
Mailing address
15215 National Ave Ste 105
Los Gatos, CA 95032-2425
Phone (408) 358-3458
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Utah School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15215 National Ave
Suite 105
Los Gatos, CA 95032-2425
Phone (408) 358-3458
2030 Forest Ave
Suite 110
San Jose, CA 95128-4833
Phone (707) 564-5190
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.71 of 100
- Quality
- 57.69
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 73.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72494 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suman S Kuppahally, M.D. Inc | Cardiovascular Disease | Current | Accepting new patients |
| El Camino Hospital | Past | Accepting new patients | |
| El Camino Health Medical Network, LLC | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
15215 National Ave
Ste 105
Los Gatos, CA 95032
Phone (408) 358-3458
2505 Samaritan Dr
Ste 600
San Jose, CA 95124
Phone (408) 358-3458
2030 Forest Ave
Ste 110
San Jose, CA 95128
Phone (408) 292-7777
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Cardiovascular Disease Physician
- Los Gatos, CA
- NPI 1962000141
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1811073323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15215 NATIONAL AVE STE 105",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322425",
"telephone_number": "408-358-3458",
"fax_number": "408-356-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 NATIONAL AVE STE 105",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322425",
"telephone_number": "408-358-3458",
"fax_number": "408-356-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPPAHALLY",
"first_name": "SUMAN",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A72494",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A72494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.