Sushma Bellamkonda, M.D

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

56019 Issued in TN

Practice address

1331 Union Ave Ste 1145
Memphis, TN 38104-7509

Phone

(901) 866-8811

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1982950093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE STE 700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043641",
            "telephone_number": "901-866-8748",
            "fax_number": "901-302-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1145",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047509",
            "telephone_number": "901-866-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMKONDA",
        "first_name": "SUSHMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "56019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q034235",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982950093",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04338819",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Sparrow Bell, NCC
• Miranda Bell
• Stephanie Bell
• Susan G. Bell, L.C.S.W.
• William Andrew Bell, PHARM. D
• Ashton Noel Bellamy, PHARMD
• Bellano Dental Appling South, PLLC
• Bellano East Memphis, PLLC
• Teresa Dwinie Belledent
• Bellevue Pulmonary Associates PC

• Neurology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.