SUSHMITHA MEDAPPA MARUVANDA MD
NPI 1164156691
Pediatrics - Pediatric Cardiology in Salt Lake City, UT

Q: What is Sushmitha Medappa Maruvanda's NPI number?

The NPI number for Sushmitha Medappa Maruvanda is 1164156691. It was assigned to this individual provider in the NPPES registry on July 11, 2022. The provider is also known as Sushmitha Medappa.

Q: What is Sushmitha Medappa Maruvanda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since July 11, 2022PECOS Enrolled

81 S MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 22, 2025, Jul 11, 2022 (2 updates tracked since 2022).

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About Sushmitha Medappa Maruvanda Md NPPES

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

SUSHMITHA MEDAPPA MARUVANDA MD (NPI 1164156691) is an individual pediatric cardiology provider in Salt Lake City, Utah, licensed in Utah (14224155-1205) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164156691

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameSUSHMITHA MEDAPPA MARUVANDACredential: MD

Location Address81 S MARIO CAPECCHI DR RM 4E217Salt Lake City, UT 84112-5888

Mailing Address81 S Mario Capecchi Dr Rm 4e217Salt Lake City, UT 84112-5888 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateJuly 11, 2022

Last NPPES UpdateMay 22, 20252 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1164156691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in UT · 14224155-1205

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

81 S MARIO CAPECCHI DR RM 4E217, Salt Lake City, UT 84112

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Other Names 1

Other Name (5)Sushmitha Medappa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushmitha Medappa Maruvanda 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 7

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

AUSTIN ROBERT SELLERS

Pediatrics (Pediatric Cardiology)