{"npi":"1790742005","type":"NPI-1","status":"active","name":{"display":"Dr. Sudharam Idupuganti MD","other":[],"first":"SUDHARAM","last":"IDUPUGANTI","credential":"MD"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"NY","license":"138851"}]},"addresses":[{"purpose":"LOCATION","street_1":"585 BAY RIDGE PKWY","city":"BROOKLYN","state":"NY","postal_code":"112093309","country_code":"US","phone":"7189211001","fax":"7189211001"},{"purpose":"MAILING","street_1":"585 BAY RIDGE PKWY","city":"BROOKLYN","state":"NY","postal_code":"112093309","country_code":"US","phone":"7189211001","fax":"7189211001"}],"license":{"state":"NY","number":"138851"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00435676","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20111107000528","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"NY","pac_id":"9234302241"}]},"enumeration_date":"2006-04-28","last_updated":"2011-09-30","_meta":{"source":"NPPES","snapshot_date":"2011-09-30","doc_url":"https://findmynpi.com/api"}}