SUJATHA BUDDHE (MD) – Pediatric Cardiology Physician, NPI 1417222779

SUJATHA BUDDHE (MD) is a healthcare provider. based in Palo alto, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. C188579 (CA). The NPI Number for SUJATHA BUDDHE (MD) is 1417222779

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SUJATHA BUDDHE (MD)
NPI
1417222779
Phone
(650) 497-8000
Address
725 WELCH RD
Enumeration Date
19 March 2012
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6504987200
Graduation Year
2003 (23 years ago)
PAC ID
9739332537
Group Practice PAC ID
0840298543
Professional Enrollment ID
I20230830002288
Address ID
CA943041601PA725XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

Provider Addresses for SUJATHA BUDDHE (MD)

  • 725 WELCH RD

    PALO ALTO, CA 943041601

    Phone: (650) 497-8000

    Type: Mailing

  • 2289 DORCHESTER DR N APT 203

    TROY, MI 480843723

    Phone: (425) 753-8167

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830002288IPediatric MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840298543View full group profile

Reviews

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Frequently asked questions

How is SUJATHA BUDDHE (MD) identified in CMS data?
CMS-hosted NPPES data lists SUJATHA BUDDHE (MD) with NPI 1417222779.
Is SUJATHA BUDDHE (MD) listed as active for patients and plans?
The listing shows SUJATHA BUDDHE (MD) as active in the NPI system.
What taxonomy line describes SUJATHA BUDDHE (MD)?
For research purposes, treat SUJATHA BUDDHE (MD) as Pediatric Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SUJATHA BUDDHE (MD) on a map?
Expect Palo Alto, California as a primary anchor for SUJATHA BUDDHE (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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