Individual provider Active NPI

Suresh Kumar, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1003974452
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 103572 Issued in FL
Practice address
13000 Bruce B. Downs Blvd
James a Haley Veterans' Hospital
Tampa, FL 33612-4745
Phone
(813) 972-6209
Fax
(914) 419-2851
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 213873 NY
Internal Medicine Physician 207R00000X ME 103572 FL Primary

Addresses

Primary practice location

13000 Bruce B. Downs Blvd
James a Haley Veterans' Hospital
Tampa, FL 33612-4745

Mailing address

17225 Emerald Chase Dr
Tampa, FL 33647-2784
Phone (813) 968-7637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000043 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5395902613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 103572FLMDInternal Medicine Physician
213873NYMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: suresh.kumar.1@18455.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1003974452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17225 EMERALD CHASE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472784",
            "telephone_number": "813-968-7637",
            "fax_number": "914-419-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B. DOWNS BLVD",
            "address_2": "JAMES A HALEY VETERANS' HOSPITAL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-6209",
            "fax_number": "914-419-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SURESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 103572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.