MR. SUDHA SAGAR BENNURI MD
NPI 1619076866
Pediatrics in Northport, AL

Q: What is Sudha Bennuri's NPI number?

The NPI number for Sudha Bennuri is 1619076866. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Sudha Bennuri's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sudha Bennuri was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 22, 2006PECOS Enrolled

2701 20TH AVENUE, NORTHPORT, AL 35476(205) 333-5900(205) 333-6090 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Sudha Sagar Bennuri Md NPPES

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

MR. SUDHA SAGAR BENNURI MD (NPI 1619076866) is an individual pediatrics provider in Northport, Alabama, licensed in Alabama (22564) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619076866

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. SUDHA SAGAR BENNURICredential: MD

Location Address2701 20TH AVENUENorthport, AL 35476-3832

Mailing Address2701 20th AvenueNorthport, AL 35476-3832 · (205) 333-8900 · Fax (205) 333-6090

Phone(205) 333-5900

Fax(205) 333-6090

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1619076866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AL · 22564

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2701 20TH AVENUE, Northport, AL 35476

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Other Identifiers 1

Medicaid009978025AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sudha Sagar Bennuri 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35476 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 2

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

DR. BINDU BENNURI MD

Internal Medicine (Allergy & Immunology)

2701 20TH AVENUE
NORTHPORT, AL 35476

Tuscaloosa County (205) 333-5900

MRS. KELLY M BONNETT CRNP

Nurse Practitioner (Pediatrics)

2701 20TH AVENUE
NORTHPORT, AL 35476

Tuscaloosa County (205) 333-5900

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 Bennuri's NPI number?

The NPI number for Sudha Bennuri is 1619076866. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Sudha Bennuri located?

Sudha Bennuri practices at 2701 20th Avenue, Northport, AL 35476. The listed phone number is (205) 333-5900.

What is Sudha Bennuri's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sudha Bennuri enrolled in Medicare?

Yes. Sudha Bennuri is registered in the Medicare PECOS enrollment system.

What insurance does Sudha Bennuri accept?

Health plans from Blue Cross and Blue Shield of Alabama list Sudha Bennuri 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.

When was this NPI record last updated?

The NPPES record for Sudha Bennuri was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.