Individual provider Active NPI

Sushma Reddy Yerram, MD

  • Neurology Physician
  • Columbia, MO
National Provider Identifier
1952737678
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2013034794 Issued in MO
Practice address
1 Hospital Dr
Columbia, MO 65212-1000
Phone
(573) 882-1515
Fax
(573) 884-0070
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2013034794 MO Primary
Neurology Physician 2084N0400X 2026-00656 NC

Addresses

Primary practice location

1 Hospital Dr
Columbia, MO 65212-1000

Mailing address

1 Hospital Dr
Columbia, MO 65212-1000
Phone (573) 882-1515

Other identifiers 1

IdentifierTypeStateIssuer
2013034794OtherMOMISSOURI STATE TEMP LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC, WV, IN, MD, DE, NV, MT, AZ, KY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20190826000958 TX Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260422001531 NC Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260422001650 WV Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260508003474 IN Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260514001735 MD Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260514003360 DE Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260515001805 NV Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260515002028 MT Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260520001536 AZ Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization
I20260622003551 KY Practitioner - Neurology 6507091907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5900

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5900

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-4956

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2019 Accepting new patients
El Paso County Hospital District Past Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Interoperability endpoints

  • Direct secure messaging: sushma.yerram@direct.myhealthep.org

Organizations & group practices 6

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 3

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1952737678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-882-1515",
            "fax_number": "573-884-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-882-1515",
            "fax_number": "573-884-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERRAM",
        "first_name": "SUSHMA",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2013034794",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2026-00656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE TEMP LICENSE NUMBER",
            "identifier": "2013034794",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.