DR. SUDHARAM IDUPUGANTI MD
NPI 1790742005
Psychiatry & Neurology - Psychiatry in Brooklyn, NY

Q: What is Sudharam Idupuganti's NPI number?

The NPI number for Sudharam Idupuganti is 1790742005. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Sudharam Idupuganti's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 28, 2006PECOS Enrolled

585 BAY RIDGE PKWY, BROOKLYN, NY 11209(718) 921-1001(718) 921-1001 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sudharam Idupuganti Md NPPES

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

DR. SUDHARAM IDUPUGANTI MD (NPI 1790742005) is an individual psychiatry provider in Brooklyn, New York, licensed in New York (138851) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1790742005

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SUDHARAM IDUPUGANTICredential: MD

Location Address585 BAY RIDGE PKWYBrooklyn, NY 11209-3309

Mailing Address585 Bay Ridge PkwyBrooklyn, NY 11209-3309 · (718) 921-1001 · Fax (718) 921-1001

Phone(718) 921-1001

Fax(718) 921-1001

Sole ProprietorYes

Medical School CMSOtherGraduated 1974

Enumeration DateApril 28, 2006

Last NPPES UpdateSeptember 30, 2011

✔ NPI 1790742005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 138851

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

585 BAY RIDGE PKWY, Brooklyn, NY 11209

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Other Identifiers 3

Medicaid00435676NY

Medicare UPINB11229NY

Medicare ID-Type Unspecified23A231NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Dr. Sudharam Idupuganti Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234302241

PECOS Enrollment IDI20111107000528

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 3

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 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.

931 services132 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

836 services116 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11209 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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.

LAUREN RINALDI M.S.ED.

Specialist

585 BAY RIDGE PKWY
BROOKLYN, NY 11209

Kings County (718) 836-2127

NICHOLAS V TORNATORE MENTAL HEALTH COUNSELOR PC

Counselor (Mental Health)

585 BAY RIDGE PKWY
BROOKLYN, NY 11209

Kings County (718) 745-2911

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 Sudharam Idupuganti's NPI number?

The NPI number for Sudharam Idupuganti is 1790742005. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Sudharam Idupuganti located?

Sudharam Idupuganti practices at 585 Bay Ridge Pkwy, Brooklyn, NY 11209. The listed phone number is (718) 921-1001.

What is Sudharam Idupuganti's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sudharam Idupuganti enrolled in Medicare?

Yes. Sudharam Idupuganti is registered in the Medicare PECOS enrollment system.

What insurance does Sudharam Idupuganti accept?

Health plans from Providence Health Plan list Sudharam Idupuganti 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 Sudharam Idupuganti was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.