DR. SUDHA PIDIKITI (M.D.,) – Nephrology Physician, NPI 1275623563

DR. SUDHA PIDIKITI (M.D.,) is a healthcare provider. based in Vancouver, Washington. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.,. They hold a License No. 49177-020 (WI). The NPI Number for DR. SUDHA PIDIKITI (M.D.,) is 1275623563

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUDHA PIDIKITI (M.D.,)
NPI
1275623563
Phone
(360) 397-1500
Address
700 NE 87TH AVE
Enumeration Date
15 October 2006
Last Update Date
3 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608822778
Graduation Year
1999 (27 years ago)
PAC ID
7113959651
Group Practice PAC ID
3173436490
Professional Enrollment ID
I20081119000838
Address ID
WA986641913VA700XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

279 NEPHROLOGY in WA

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Provider Addresses for DR. SUDHA PIDIKITI (M.D.,)

  • 700, Northeast 87th Avenue, McLoughlin Heights, Vancouver, Clark County, Washington, 98664, United States

    VANCOUVER, WA 986641913

    Phone: (360) 397-1500

    Fax: (360) 253-3515

    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)

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: 2008-11-19

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
I20081119000838INephrologyWATBD

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
36415Insertion of needle into vein for collection of blood sample18574$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16161$0
80069Kidney function blood test panel14667$0
99214Established patient office or other outpatient visit, 30-39 minutes12880$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9944$0
View full utilization report →

Insurance plans in this area (ZIP 98664)

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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: 3173436490View full group profile
NameSpecialtyState
Physician AssistantTN
Internal Medicine, Infectious DiseasePA
Internal MedicineWA
Diagnostic RadiologyOR
Internal MedicineOR
O P H T H A L M O L O G YIA
-OR
Nurse PractitionerWA
Nurse PractitionerWA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA

Reviews

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Frequently asked questions

Can I cross-check DR. SUDHA PIDIKITI (M.D.,) using NPI 1275623563?
NPI 1275623563 belongs to DR. SUDHA PIDIKITI (M.D.,); compare other details if you need extra assurance.
Is there an active status for DR. SUDHA PIDIKITI (M.D.,)?
For scheduling context, DR. SUDHA PIDIKITI (M.D.,) is shown as active in the registry.
What clinical focus is listed for DR. SUDHA PIDIKITI (M.D.,)?
At a glance, DR. SUDHA PIDIKITI (M.D.,) is tied to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SUDHA PIDIKITI (M.D.,) located near Vancouver?
DR. SUDHA PIDIKITI (M.D.,) currently maps to Vancouver, Washington in this extract.
When was this NPI issued?
Enumeration for DR. SUDHA PIDIKITI (M.D.,) is noted as October 15, 2006 where the registry provides it.

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