1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Pediatrics
  6. NPI Profile

SUDHEER NANDURI MBBS
NPI 1629606926
Pediatrics - Pediatric Cardiology in Salt Lake City, UT

Active since March 31, 2020PECOS Enrolled
81 MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Mar 31, 2020 (2 updates tracked since 2020).

About Sudheer Nanduri Mbbs NPPES

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

SUDHEER NANDURI MBBS (NPI 1629606926) is an individual pediatric cardiology provider in Salt Lake City, Utah, licensed in Utah (13891537-1205) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1629606926
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameSUDHEER NANDURICredential: MBBS
Location Address81 MARIO CAPECCHI DR RM 4E217Salt Lake City, UT 84112
Mailing Address81 Mario Capecchi Dr Rm 4e217Salt Lake City, UT 84112 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1629606926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in UT · 13891537-1205
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 P100915 (NY)
81 MARIO CAPECCHI DR RM 4E217, Salt Lake City, UT 84112
Open in Google Maps ↗

Secondary Practice Location 1

Location 1374 Stockholm StBrooklyn, NY 11237-4006 · Phone (801) 376-5518

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudheer Nanduri Mbbs 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 3

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

SCOTT ANJEWIERDEN MD, MS
Pediatrics (Pediatric Cardiology)
81 MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
ZACHARY PAUL ZABRISKIE MD
Pediatrics (Pediatric Cardiology)
81 MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DR. ALI NABI ALI ABDULKARIM MBBCH
Pediatrics (Pediatric Cardiology)
81 MARIO CAPECCHI DR RM 4E217
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 Sudheer Nanduri's NPI number?

The NPI number for Sudheer Nanduri is 1629606926. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Sudheer Nanduri located?

Sudheer Nanduri practices at 81 Mario Capecchi Dr Rm 4e217, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Sudheer Nanduri's specialty?

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

Is Sudheer Nanduri enrolled in Medicare?

Yes. Sudheer Nanduri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sudheer Nanduri was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.