NPIMap

Individual provider Active NPI

Suresh Narayan Kumar, MD

  • Nephrology Physician
  • Knoxville, TN
National Provider Identifier
1104016617
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
48630 Issued in TN
Practice address
939 E Emerald Ave Ste 610
Knoxville, TN 37917-4569
Phone
(865) 637-8635
Fax
(865) 637-9882
NPI assigned
Jul 31, 2007
Last updated
Jun 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD.203941 LA
Nephrology Physician 207RN0300X 48630 TN Primary

Addresses

Primary practice location

939 E Emerald Ave Ste 610
Knoxville, TN 37917-4569

Mailing address

939 E Emerald Ave Ste 610
Knoxville, TN 37917-4569
Phone (865) 637-8635

Other identifiers 1

IdentifierTypeStateIssuer
48630OtherTNLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000677 TN Practitioner - Nephrology 4981868775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Medical Associates PCGroup PAC ID 9830163856, 7 clinicians

Practice addresses (Care Compare)

7650 Dannaher Dr
Suite 200
Powell, TN 37849-4052

9314 Parkwest Blvd
Suite 300
Knoxville, TN 37923-4300
Phone (865) 693-5450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.34 of 100Reported as individual
Quality
61.92
Promoting interoperability
100
Improvement activities
0
Cost
67.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48630TNMDNephrology Physician
MD.203941LAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medical Associates PC CurrentSince Apr 18, 2012 Accepting new patients

Locations

9301 Park West Blvd
#2
Knoxville, TN 37923
Phone (865) 693-5450

9314 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 690-9475

7650 Dannaher Dr
Ste 200
Powell, TN 37849
Phone (865) 637-8635

Interoperability endpoints

  • Direct secure messaging: skumar29654@direct.acumenmd.com

Organizations & group practices 1

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1104016617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 E EMERALD AVE STE 610",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174569",
            "telephone_number": "865-637-8635",
            "fax_number": "865-637-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 E EMERALD AVE STE 610",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174569",
            "telephone_number": "865-637-8635",
            "fax_number": "865-637-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SURESH",
        "middle_name": "NARAYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "MD.203941",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "48630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "48630",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.