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DR. SUPRIYA SARVODE MD
NPI 1720579451
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

Active since May 29, 2018PECOS Enrolled
262 DANNY THOMAS PL, MEMPHIS, TN 38105(888) 226-4343 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Mar 23, 2023 (2 updates tracked since 2023).

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

NPI1720579451
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. SUPRIYA SARVODECredential: MD
Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678
Mailing Address262 Danny Thomas PlMemphis, TN 38105-3678
Phone(888) 226-4343
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1720579451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TN · 63464
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 63464 (TN), 274397 (MA)
262 DANNY THOMAS PL, Memphis, TN 38105
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Other Names 1

Former Name (1)Dr. Supriya Gujjar Suresh Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Supriya Sarvode 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.

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.

MISS JENNIFER ELAINE ROEMER CPNP-AC
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
MR. ALBERTO S. PAPPO M.D.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-6765
MS. HEATHER MARIE CONKLIN PHD
Psychologist (Clinical)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
ALYSSA COTTON
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
ARMITA BAHRAMI MD
Pathology (Anatomic Pathology & Clinical Pathology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
DR. SEAN PHIPPS PH.D.
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
WENDY BOURLAND D.O.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105
Shelby County (901) 595-3300
JAMES MICHAEL BURGESS DNP, MBA, RN
Clinical Nurse Specialist (Oncology, Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300

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.

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.