1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SUDEEP PEDDIREDDY MD
NPI 1083309637
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since April 10, 2023PECOS Enrolled
150 BERGEN ST, NEWARK, NJ 07103(973) 972-4300 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sudeep Peddireddy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUDEEP PEDDIREDDY MD (NPI 1083309637) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083309637
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSUDEEP PEDDIREDDYCredential: MD
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address150 Bergen StNewark, NJ 07103-2496
Phone(973) 972-4300
Sole ProprietorNo
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1083309637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
150 BERGEN ST, Newark, NJ 07103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudeep Peddireddy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ARIEL LIPPA, LPC, LCADC, NCC.
Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
GABRIEL HANNA
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (201) 397-5249
ADRIANA NOEMI GONZALEZ MD
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
DR. SAFIA ANSARI DO
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
MERRY ZHAI MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
HEATHER WANG
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
KOPAL BANSAL MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
ADRIENNE-VYOLET BALK MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudeep Peddireddy's NPI number?

The NPI number for Sudeep Peddireddy is 1083309637. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Sudeep Peddireddy located?

Sudeep Peddireddy practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-4300.

What is Sudeep Peddireddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sudeep Peddireddy enrolled in Medicare?

Yes. Sudeep Peddireddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sudeep Peddireddy was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.