DR. VENKATA DHARMA TEJA SUGNANAM MD
NPI 1265847230
Psychiatry & Neurology - Psychiatry in Salisbury, MD

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
560 RIVERSIDE DR STE A204, SALISBURY, MD 21801(443) 358-6193(443) 358-6197 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2018, Jul 23, 2018, Jul 6, 2018 (3 updates tracked since 2018).

About Dr. Venkata Dharma Teja Sugnanam Md NPPES

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

DR. VENKATA DHARMA TEJA SUGNANAM MD (NPI 1265847230) is an individual psychiatry provider in Salisbury, Maryland, licensed in Maryland (D0084369) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1265847230
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. VENKATA DHARMA TEJA SUGNANAMCredential: MD
Location Address560 RIVERSIDE DR STE A204Salisbury, MD 21801
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Fax(443) 358-6197
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 27, 2014
Last NPPES UpdateNovember 7, 20183 updates tracked since enumeration
NPI 1265847230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MD · D0084369
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
560 RIVERSIDE DR STE A204, Salisbury, MD 21801

Other Identifiers 1

Medicaid119591300MD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Venkata Dharma Teja Sugnanam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103043583
PECOS Enrollment IDI20211006002362, I20240813002076
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$175.57 typical visit price
range $57.99 – $175.57
Typical copayment $43.89 (range $14.49 – $43.89)
Most-billed visit code 99205
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801
Social Worker (Clinical)
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801
Social Worker
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801
Social Worker (Clinical)
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801
Social Worker (Clinical)
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801
Social Worker (Clinical)
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801
Nurse Practitioner (Psychiatric/Mental Health)
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801
Social Worker
560 RIVERSIDE DR STE A204
SALISBURY, MD 21801

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 Venkata Sugnanam's NPI number?

The NPI number for Venkata Sugnanam is 1265847230. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Venkata Sugnanam located?

Venkata Sugnanam practices at 560 Riverside Dr Ste A204, Salisbury, MD 21801. The listed phone number is (443) 358-6193.

What is Venkata Sugnanam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Venkata Sugnanam enrolled in Medicare?

Yes. Venkata Sugnanam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Venkata Sugnanam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Venkata Sugnanam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Venkata Sugnanam affiliated with any hospitals?

According to CMS data, Venkata Sugnanam is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Venkata Sugnanam was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.