Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nissi Sharon Suppogu, MD

Individual provider Cardiovascular Disease Physician · NPI 1801236641

Dr. Nissi Sharon Suppogu, MD is a Cardiovascular Disease (Cardiology) in Long Beach, California. Qualified in 2009, 17 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3828 Schaufele Ave Ste 250
Long Beach, CA 90808
Phone: (657) 241-8990
Fax: (714) 665-4664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A146165 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A146165 (CA)

Record details

NPI number1801236641
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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