Suman S Kuppahally, M.D. Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SUMAN S KUPPAHALLY, M.D. INC

Practice address

15215 National Ave Ste 105
Los Gatos, CA 95032-2425

Phone

(408) 358-3458

Fax

(408) 693-3614

NPI assigned

Oct 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Suman S Kuppahally, MDNPI 1811073323

Title

MD

Phone

(408) 358-3458

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suman S. Kuppahally, MD

  • Cardiovascular Disease Physician
  • Los Gatos, CA
  • NPI 1811073323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1962000141",
    "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": "408-693-3614"
        },
        {
            "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": "408-693-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMAN S KUPPAHALLY, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "KUPPAHALLY",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "408-358-3458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergey Sukhanov
• Danielle L. Sukonick, M.D.
• Courtney Allison Sullivan, DPT
• Michael F. Sullivan, P.T.
• Terrence R Sullivan, MD
• Jodecia Sung, DC
• Sutter Bay Medical Foundation
• Sutter Bay Medical Foundation
• Lauren Jeanette Swaney
• Dennis B Swanson, D.D.S.

• Cardiovascular Disease Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Cardiovascular Disease Physician in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.