SUDHA PENUMALA
NPI 1437635984
Internal Medicine - Endocrinology, Diabetes & Metabolism in Grand Rapids, MI

Q: What is Sudha Penumala's NPI number?

The NPI number for Sudha Penumala is 1437635984. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Q: What is Sudha Penumala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Sudha Penumala was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment

300 LAFAYETTE AVE SE, STE 2045, GRAND RAPIDS, MI 49503(616) 685-3098(616) 685-3095 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2025, Oct 30, 2023, Aug 20, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Sudha Penumala NPPES

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

SUDHA PENUMALA (NPI 1437635984) is an individual endocrinology, diabetes & metabolism provider in Grand Rapids, Michigan, licensed in Michigan (4301510258) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437635984

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameSUDHA PENUMALA

Location Address300 LAFAYETTE AVE SE, STE 2045Grand Rapids, MI 49503-4692

Mailing Address300 Lafayette Ave Se Ste 2045Grand Rapids, MI 49503-4692 · (800) 494-5797

Phone(616) 685-3098

Fax(616) 685-3095

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 18, 2018

Last NPPES UpdateApril 2, 20254 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1437635984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in MI · 4301510258✔ Licensed in KY · 55256

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

300 LAFAYETTE AVE SE, Grand Rapids, MI 49503

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Sudha Penumala 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 ID4486907508

PECOS Enrollment IDI20230901003485

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

22 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230059

Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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 20

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

DESMOND JAVON HARDEN MD

Internal Medicine

300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6919

IBRAHIM RAZA MD

Internal Medicine

300 LAFAYETTE AVE SE, SUITE 3000
GRAND RAPIDS, MI 49503

Kent County (616) 685-4615

ALLISON WILLETT RDN

Dietitian, Registered

300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5003

SHRUTI JAVALI

Family Medicine

300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6922

JOHN CAVACECE DO

Family Medicine

300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503

Kent County (616) 685-6922

RUGGERO BATTAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

300 LAFAYETTE AVE SE, STE 2045
GRAND RAPIDS, MI 49503

Kent County (616) 685-8760

MAHA AYASHI MD

Family Medicine

300 LAFAYETTE AVE SE, STE 4000
GRAND RAPIDS, MI 49503

Kent County (616) 685-6922

JOHN VANSCHAGEN MD

Family Medicine

300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503

Kent County (616) 685-6922

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 Sudha Penumala's NPI number?

The NPI number for Sudha Penumala is 1437635984. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Sudha Penumala located?

Sudha Penumala practices at 300 Lafayette Ave SE Ste 2045, Grand Rapids, MI 49503. The listed phone number is (616) 685-3098.

What is Sudha Penumala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sudha Penumala enrolled in Medicare?

Yes. Sudha Penumala 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 Sudha Penumala accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Sudha Penumala 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 Sudha Penumala affiliated with any hospitals?

According to CMS data, Sudha Penumala is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Sudha Penumala was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.