SUSHMITHA MEDAPPA MARUVANDA MD
NPI 1164156691
Pediatrics - Pediatric Cardiology in Salt Lake City, UT
NPI Status: Active since July 11, 2022
Contact Information
81 S MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121
- Individual
- Female
- Pediatrics
- Pediatric Cardiology
About SUSHMITHA MEDAPPA MARUVANDA
This page provides the complete NPI Profile along with additional information for Sushmitha Medappa Maruvanda, a pediatrician established in Salt Lake City, Utah with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1164156691 assigned on July 2022. The practitioner's primary taxonomy code is 2080P0202X with license number 14224155-1205 (UT). The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1164156691
- Provider Name
- SUSHMITHA MEDAPPA MARUVANDA MD
- Other Name
- SUSHMITHA MEDAPPA
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 81 S MARIO CAPECCHI DR RM 4E217 SALT LAKE CITY, UT 84112
- Location Phone
- (801) 581-2121
- Mailing Address
- 81 S MARIO CAPECCHI DR RM 4E217 SALT LAKE CITY, UT 84112
- Mailing Phone
- (801) 581-2121
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2022
- Last Update Date
- 05-22-2025
- Code Navigator
A pediatrician like Sushmitha Medappa Maruvanda is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14224155-1205
- License State
- UT
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (NJ) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 1 | 5 | 6 | 6 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 2 | 5 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 2 + 5 + 1 + 2 + 6 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1164156691 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
MAUREEN C. FARRELL MD
Pediatrics
(Pediatric Cardiology)
81 S MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT
ZIP 84112
ZACHARY FOX MD
Pediatrics
(Pediatric Cardiology)
81 S MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT
ZIP 84112
DR. EMILY ROSENTHAL MD
Pediatrics
(Pediatric Cardiology)
81 S MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT
ZIP 84112
DR. MARK PILARSKI DO
Pediatrics
(Pediatric Cardiology)
81 S MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT
ZIP 84112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164156691, enumerated as an "individual" on July 11, 2022.
The provider is located at 81 S MARIO CAPECCHI DR RM 4E217 SALT LAKE CITY, UT 84112 and the phone number is (801) 581-2121.
Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.
