Active NPI
Frederick John Suhrstedt III, MD
- Pediatrics Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 52586
- Practice address
- 905 Verdae Blvd Ste 102
Greenville, SC 29607-4098 - Phone
- (864) 522-6600
- Fax
- (864) 522-6605
- NPI assigned
- Jun 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 52586 | SC | Primary |
| Pediatric Sports Medicine Physician | 2080S0010X | 52586 | SC |
Addresses
Primary practice location
905 Verdae Blvd Ste 102
Greenville, SC 29607-4098
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
5 W Main St
Greenville, SC 29611-4215
Phone (864) 522-5220
Other practice location 2
20 Medical Ridge Dr
Greenville, SC 29605-4267
Phone (864) 522-5220
Other names 1
- Trey Suhrstedt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of South Carolina School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Medical Ridge Dr
Greenville, SC 29605-4267
Phone (864) 220-7270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52586 | SC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Pediatrics | Current | Accepting new patients |
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
2400 Greatstone Pt
Fl 2
Lexington, KY 40504
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Doctors Dr
Greenville, SC 29605
Phone (864) 271-3354
20 Medical Ridge Dr
Greenville, SC 29605
Phone (864) 220-7270
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
905 Verdae Blvd
Ste 102
Greenville, SC 29607
Phone (864) 522-6000
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
200 Patewood Dr
Ste C100
Greenville, SC 29615
Phone (864) 454-7422
5 W Main St
Greenville, SC 29611
Phone (864) 522-5220
Interoperability endpoints
- fsuhrstedt229337@direct.ghs.myhfn.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Pediatrics
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1033602651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 VERDAE BLVD STE 102",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074098",
"telephone_number": "864-522-6600",
"fax_number": "864-522-6605"
}
],
"practiceLocations": [
{
"address_1": "5 W Main St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296114215",
"country_code": "US",
"telephone_number": "864-522-5220",
"fax_number": "864-241-9211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Medical Ridge Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054267",
"country_code": "US",
"telephone_number": "864-522-5220",
"fax_number": "864-522-5296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUHRSTEDT",
"first_name": "FREDERICK",
"middle_name": "JOHN",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "52586",
"primary": true
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "SC",
"license": "52586",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TREY",
"last_name": "SUHRSTEDT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.