SUPRIYA PAIDEMARRY MD
NPI 1285487066
Student in an Organized Health Care Education/Training Program in Verona, WI

Q: What is Supriya Paidemarry's NPI number?

The NPI number for Supriya Paidemarry is 1285487066. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Q: What is Supriya Paidemarry's specialty?

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

Active since April 10, 2024PECOS Enrolled

100 N NINE MOUND RD, VERONA, WI 53593(608) 845-9531(608) 845-8684 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Supriya Paidemarry Md NPPES

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

SUPRIYA PAIDEMARRY MD (NPI 1285487066) is an individual student in an organized health care education/training program in Verona, Wisconsin and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285487066

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSUPRIYA PAIDEMARRYCredential: MD

Location Address100 N NINE MOUND RDVerona, WI 53593-1032

Mailing Address1100 Delaplaine CtMadison, WI 53715-1840 · (608) 263-4550

Phone(608) 845-9531

Fax(608) 845-8684

Sole ProprietorNo

Enumeration DateApril 10, 2024

NPPES CertifiedApril 10, 2024

✔ NPI 1285487066 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.

100 N NINE MOUND RD, Verona, WI 53593

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supriya Paidemarry 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.

JENNIFER E SVARVERUD D.O.

Family Medicine