SUJATHA BUDDHE MD
NPI 1417222779
Pediatrics - Pediatric Cardiology in Palo Alto, CA

Q: What is Sujatha Buddhe's NPI number?

The NPI number for Sujatha Buddhe is 1417222779. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Q: What is Sujatha Buddhe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sujatha Buddhe was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(425) 753-8167 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2024, Aug 22, 2023, Aug 14, 2023 (3 updates tracked since 2023).

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About Sujatha Buddhe Md NPPES

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

SUJATHA BUDDHE MD (NPI 1417222779) is an individual pediatric cardiology provider in Palo Alto, California, licensed in California (C188579) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1417222779

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameSUJATHA BUDDHECredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(425) 753-8167

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 19, 2012

Last NPPES UpdateApril 11, 20243 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1417222779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in CA · C188579✔ Licensed in MI · 4301094394

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 ListedPediatricsTaxonomy 208000000X · License C188579 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Sujatha Buddhe 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 ID9739332537

PECOS Enrollment IDI20230830002288

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.

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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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)