Active NPI
Suguna Simhadri
- Dentist
- Evansville, IN
National Provider Identifier
1992650428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12015021A
- Practice address
- 804 S Green River Rd Ste a
Evansville, IN 47715-4106 - Phone
- (317) 969-3437
- NPI assigned
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12015021A | IN | Primary |
Addresses
Primary practice location
804 S Green River Rd Ste a
Evansville, IN 47715-4106
Mailing address
3378 White Oak TRL
Newburgh, IN 47630-9443
Phone (317) 969-3437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12015021A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1992650428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3378 WHITE OAK TRL",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309443",
"telephone_number": "317-969-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 S GREEN RIVER RD STE A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154106",
"telephone_number": "317-969-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMHADRI",
"first_name": "SUGUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12015021A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.