Active NPI
Sree Rama Chandra Sekhar Susarla, MRCP, MD
- Nephrology Physician
- Parker, CO
National Provider Identifier
1114294279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- DR.0068596
- Practice address
- 12230 Lioness Way
Parker, CO 80134-5603 - Phone
- (720) 644-9355
- NPI assigned
- Nov 17, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | DR.0068596 | CO | Primary |
Addresses
Primary practice location
12230 Lioness Way
Parker, CO 80134-5603
Mailing address
12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0068596 | CO | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1114294279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801345603",
"telephone_number": "720-644-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801345603",
"telephone_number": "720-644-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSARLA",
"first_name": "SREE",
"middle_name": "RAMA CHANDRA SEKHAR",
"name_prefix": "Dr.",
"credential": "MRCP, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CO",
"license": "DR.0068596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.