DR. NISSI SHARON SUPPOGU M.D
NPI 1801236641
Internal Medicine - Cardiovascular Disease in Long Beach, CA

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
3828 SCHAUFELE AVE, STE. 250, LONG BEACH, CA 90808(657) 241-8990(714) 665-4664 Get Directions Write a Review

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

Record update history: Apr 30, 2026, Oct 5, 2023, Feb 4, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Nissi Sharon Suppogu M.d NPPES

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

DR. NISSI SHARON SUPPOGU M.D (NPI 1801236641) is an individual cardiovascular disease provider in Long Beach, California, licensed in California (A146165) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1801236641
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NISSI SHARON SUPPOGUCredential: M.D
Location Address3828 SCHAUFELE AVE, STE. 250Long Beach, CA 90808
Mailing Address3828 Schaufele Ave, Ste. 250Long Beach, CA 90808 · (657) 241-8990 · Fax (714) 665-4664
Fax(714) 665-4664
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 25, 2013
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1801236641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A146165
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License A146165 (CA)
3828 SCHAUFELE AVE, STE. 250, Long Beach, CA 90808

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nissi Sharon Suppogu M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527369263
PECOS Enrollment IDI20230831004426
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 18

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services89 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
118 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
102 services68 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
96 services87 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
90 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90808 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
3828 SCHAUFELE AVE, STE. 250
LONG BEACH, CA 90808

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 Nissi Suppogu's NPI number?

The NPI number for Nissi Suppogu is 1801236641. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Nissi Suppogu located?

Nissi Suppogu practices at 3828 Schaufele Ave, Ste. 250, Long Beach, CA 90808. The listed phone number is (657) 241-8990.

What is Nissi Suppogu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nissi Suppogu enrolled in Medicare?

Yes. Nissi Suppogu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nissi Suppogu was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.