SARULATHA M KUPPA (MD) – Family Medicine Physician, NPI 1093911083

SARULATHA M KUPPA (MD) is a healthcare provider. based in St louis park, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 49173 (MN). The NPI Number for SARULATHA M KUPPA (MD) is 1093911083

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
SARULATHA M KUPPA (MD)
NPI
1093911083
Phone
Not provided
Address
1435 HAMPSHIRE AVE S
Enumeration Date
26 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6519827000
Graduation Year
1993 (33 years ago)
PAC ID
1153415245
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20070920000177
Address ID
MN550928013WY5200XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for SARULATHA M KUPPA (MD)

  • 1435, Hampshire Avenue South, Eliot, Saint Louis Park, Hennepin County, Minnesota, 55426, United States

    #212

    ST LOUIS PARK, MN 554262167

    Phone:

    Type: Mailing

  • 14040, Northdale Boulevard, Remus Industrial Park, Rogers, Hennepin County, Minnesota, 55374, United States

    ROGERS, MN 55374

    Phone: (763) 488-4100

    Type: Location

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: 2007-09-20

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
I20070920000177IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes177110$0
36415Insertion of needle into vein for collection of blood sample12682$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
83036Hemoglobin a1c level6243$0
80061Blood test, lipids (cholesterol and triglycerides)5451$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

SARULATHA M KUPPA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN90670Pneumococcal vaccine for injection into muscle2222

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: 7113830142View full group profile

Reviews

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Frequently asked questions

How do I look up SARULATHA M KUPPA (MD) by NPI?
Use NPI 1093911083 when you need to reference SARULATHA M KUPPA (MD) in forms, claims, or directories.
Is SARULATHA M KUPPA (MD) currently active in the NPI registry?
CMS-published data lists SARULATHA M KUPPA (MD) as an active registrant.
What does SARULATHA M KUPPA (MD) treat or focus on?
Patients typically see SARULATHA M KUPPA (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SARULATHA M KUPPA (MD)?
The snapshot lists St Louis Park, Minnesota for SARULATHA M KUPPA (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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