SUMAN S. KUPPAHALLY MD
NPI 1811073323
Internal Medicine - Cardiovascular Disease in Los Gatos, CA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
67.95/100
CMS Quality Rating
15215 NATIONAL AVE STE 105, LOS GATOS, CA 95032(408) 358-3458(408) 356-6191 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Jul 29, 2022, May 22, 2020 (3 updates tracked since 2020).

About Suman S. Kuppahally Md NPPES

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

SUMAN S. KUPPAHALLY MD (NPI 1811073323) is an individual cardiovascular disease provider in Los Gatos, California, licensed in California (A72494) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2010).

NPPES Registry Identity

NPI1811073323
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSUMAN S. KUPPAHALLYCredential: MD
Location Address15215 NATIONAL AVE STE 105Los Gatos, CA 95032-2425
Mailing Address15215 National Ave Ste 105Los Gatos, CA 95032-2425 · (408) 358-3458 · Fax (408) 356-6191
Fax(408) 356-6191
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2010
Enumeration DateOctober 27, 2006
Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1811073323 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 · A72494
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 A72494 (CA)
15215 NATIONAL AVE STE 105, Los Gatos, CA 95032

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

Suman S. Kuppahally Md 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 ID1254464886
PECOS Enrollment IDI20100803001261
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 26

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.
2,066 services807 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
1,097 services138 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
568 services142 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.
430 services423 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.
323 services261 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
312 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95032 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

67.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.32
Improvement Activities40
Cost58.09

Reported Quality Measures

Controlling High Blood Pressure
53%178 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%50 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
80%6,994 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,780 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%1,189 patients1/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 272 patients
Patients totalRate: 0% · 272 patients
0%272 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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)
15215 NATIONAL AVE STE 105
LOS GATOS, CA 95032

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 Suman Kuppahally's NPI number?

The NPI number for Suman Kuppahally is 1811073323. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Suman Kuppahally located?

Suman Kuppahally practices at 15215 National Ave Ste 105, Los Gatos, CA 95032. The listed phone number is (408) 358-3458.

What is Suman Kuppahally's specialty?

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

Is Suman Kuppahally enrolled in Medicare?

Yes. Suman Kuppahally 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 Suman Kuppahally was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.