Individual provider Active NPI

Frederick John Suhrstedt III, MD

  • Pediatrics Physician
  • Greenville, SC
National Provider Identifier
1033602651
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
52586 Issued in SC
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

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220915001093 KY Practitioner - Pediatric Medicine 5092065367 Reassigns benefits to 2 organizations
I20230911002389 SC Practitioner - Pediatric Medicine 5092065367 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
52586SCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Pediatrics CurrentSince Sep 1, 2022 Accepting new patients
Prisma Health University Medical Group Pediatrics CurrentSince Aug 14, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Aug 14, 2023 Accepting new patients
University of Kentucky CurrentSince Sep 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.