DR. SUPRIYA SARVODE MD
NPI 1720579451
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN
About Dr. Supriya Sarvode Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUPRIYA SARVODE MD (NPI 1720579451) is an individual pediatric hematology-oncology provider in Memphis, Tennessee, licensed in Tennessee (63464) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Supriya Sarvode Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Supriya Sarvode reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38105
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: St Jude Childrens Research Hospital Inc
- 367 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
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 Supriya Sarvode's NPI number?
The NPI number for Supriya Sarvode is 1720579451. It was assigned to this individual provider in the NPPES registry on May 29, 2018. The provider is also known as Dr. Supriya Gujjar Suresh MD.
Where is Supriya Sarvode located?
Supriya Sarvode practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (888) 226-4343.
What is Supriya Sarvode's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Supriya Sarvode enrolled in Medicare?
Yes. Supriya Sarvode is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Supriya Sarvode's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Supriya Sarvode reassigns Medicare benefits to St Jude Children's Research Hospital, Inc. (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Supriya Sarvode's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Supriya Sarvode was last updated on July 9, 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.
# Dr. Supriya Sarvode, MD · NPI 1720579451
Pediatric Hematology-Oncology physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since May 29, 2018.
## Identity
- **NPI:** 1720579451 (Entity type: Individual)
- **Enumerated:** May 29, 2018
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** 63464 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 262 DANNY THOMAS PL, Memphis, TN 38105-3678
- **Phone:** (888) 226-4343
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Jude Children's Research Hospital, Inc. (NPI 1306335088, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720579451) · Data from the CMS NPPES public registry.