Individual provider Active NPI

Sudhindra Pudur, MD

  • Nephrology Physician
  • Hudson, FL
National Provider Identifier
1831142561
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME101984 Issued in FL
Practice address
14134 Nephron LN
Hudson, FL 34667-6504
Phone
(727) 863-5418
Fax
(727) 869-8626
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME101984 FL Primary

Addresses

Primary practice location

14134 Nephron LN
Hudson, FL 34667-6504

Mailing address

14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418

Other identifiers 2

IdentifierTypeStateIssuer
34509300MedicaidWI
009906261XOtherHUMANA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081104000184 FL Practitioner - NephrologyPractitioner - Internal Medicine 2264498542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418

Hospital & facility affiliations

  • Rai 9TH Street North - St Petersburg Dialysis facility, Saint Petersburg, FL, CCN 102604
  • FMC - Pinellas Park Dialysis facility, Pinellas Park, FL, CCN 102519
  • Seminole Dialysis Center Dialysis facility, Seminole, FL, CCN 102581
  • Fresenius Kidney Care St Petersburg Dialysis facility, Saint Petersburg, FL, CCN 682525
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology CurrentSince Aug 15, 2008 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

8614 State Road 70 E
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 737-8927

635 4th St N
Ste 200
St Petersburg, FL 33701
Phone (727) 201-4968

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: spudur189043@orlandohealth.medalliesdirect.net
  • Direct secure messaging: spudur77184@direct.acumenmd.com

Organizations & group practices 2

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1831142561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14134 NEPHRON LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676504",
            "telephone_number": "727-863-5418",
            "fax_number": "727-869-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14134 NEPHRON LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676504",
            "telephone_number": "727-863-5418",
            "fax_number": "727-869-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDUR",
        "first_name": "SUDHINDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME101984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34509300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "009906261X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.