Individual provider Active NPI

Suresh Mahawar, MD

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1033154893
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53588 Issued in CA
Practice address
3550 Mowry Ave
Suite 101
Fremont, CA 94538-1460
Phone
(510) 797-5500
Fax
(510) 797-5507
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 A53588 CA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A53588 CA

Addresses

Primary practice location

3550 Mowry Ave
Suite 101
Fremont, CA 94538-1460

Mailing address

3550 Mowry Ave
Suite 101
Fremont, CA 94538-1460
Phone (510) 797-5500

Other identifiers 1

IdentifierTypeStateIssuer
00A535880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050203000257 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 2567413925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3550 Mowry Ave
Fremont, CA 94538-1460
Phone (510) 797-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53588CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahawar Medical Center Inc Internal Medicine CurrentSince Jan 31, 2005 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Family Health Group Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

3550 Mowry Ave
Ste 101
Fremont, CA 94538
Phone (510) 797-5500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033154893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MOWRY AVE",
            "address_2": "SUITE 101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381460",
            "telephone_number": "510-797-5500",
            "fax_number": "510-797-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MOWRY AVE",
            "address_2": "SUITE 101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381460",
            "telephone_number": "510-797-5500",
            "fax_number": "510-797-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAWAR",
        "first_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53588",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A53588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A535880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.