SUDEEP KUCHIBHOTLA – Internal Medicine Physician, NPI 1275912172

SUDEEP KUCHIBHOTLA is a healthcare provider. based in Boston, Massachusetts. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold a License No. 263915 (MA). The NPI Number for SUDEEP KUCHIBHOTLA is 1275912172

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SUDEEP KUCHIBHOTLA
NPI
1275912172
Phone
(617) 636-5000
Address
800 WASHINGTON ST
Enumeration Date
26 May 2015
Last Update Date
26 May 2015

Doctor Profile

Medical School Name
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8042894500
Graduation Year
2015 (11 years ago)
PAC ID
2668761263
Group Practice PAC ID
9133195241
Professional Enrollment ID
I20230613002515
Address ID
VA232295205RI1602XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

207 INTERVENTIONAL CARDIOLOGY in MA

Provider Addresses for SUDEEP KUCHIBHOTLA

  • 800 WASHINGTON ST

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 102 Open Payments records for all available years, with a total value of $2,841.

Total Amount is formed as General ($2,841) + Research ($0) + Ownership ($0) = $2,841.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Abbott Laboratories ($722).

Total Amount

$2,841

General + Research + Ownership

Payments

102

Total payment records

General Amount

$2,841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-13

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
I20230613002515IInterventional CardiologyVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2785Injection, regadenoson, 0.1 mg16040$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function134133$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report10582$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7138$0
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries6633$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 9133195241View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineVA
Cardiovascular Disease (Cardiology), Internal MedicineVA
Peripheral Vascular Disease, Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyVA
Cardiovascular Disease (Cardiology), Internal MedicineVA
Interventional Cardiology, Cardiovascular Disease (Cardiology)VA
Cardiovascular Disease (Cardiology)VA
Cardiovascular Disease (Cardiology), Orthopedic SurgeryVA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineVA
Interventional CardiologyVA
-VA

Reviews

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Frequently asked questions

How is SUDEEP KUCHIBHOTLA identified in CMS data?
CMS-hosted NPPES data lists SUDEEP KUCHIBHOTLA with NPI 1275912172.
Does CMS list SUDEEP KUCHIBHOTLA as active?
Yes — SUDEEP KUCHIBHOTLA is active in the NPI listing used on this page.
What taxonomy line describes SUDEEP KUCHIBHOTLA?
For research purposes, treat SUDEEP KUCHIBHOTLA as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SUDEEP KUCHIBHOTLA based?
SUDEEP KUCHIBHOTLA is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does SUDEEP KUCHIBHOTLA have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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