Suresh Sureddi MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SURESH SUREDDI MD LLC

Practice address

730 E Park Blvd
120
Plano, TX 75074-5451

Phone

(214) 908-1255

Fax

(888) 393-5982

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Suresh Sureddi, MDNPI 1710932561

Title

Ceo

Phone

(214) 908-1255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh Sureddi, M.D.

  • Psychiatry Physician
  • Plano, TX
  • NPI 1710932561
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1023426947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 213, 120 E. FM 544",
            "address_2": "72",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944035",
            "telephone_number": "214-908-1255",
            "fax_number": "888-393-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E PARK BLVD",
            "address_2": "120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745451",
            "telephone_number": "214-908-1255",
            "fax_number": "888-393-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH SUREDDI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "SUREDDI",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-908-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Super, LAT, COF
• Superior Assist Solutions PLLC
• Superior Health LLC
• Shravani Surakanti, M.D.
• Suresh Sureddi, M.D.
• Surgassist Pro LLC
• Surgcenter of Plano LLC
• Surgery Center 121 LLC
• Surgery Center of Texas LP
• Surgical Anesthesia Consultants, PLLC

• Psychiatry Physician in Plano, TX
• Providers in Plano, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.