Individual provider Active NPI

Shakthi Nandan Sureddi, MD

  • Neurology Physician
  • Baytown, TX
National Provider Identifier
1114421336
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01095840A Issued in IN
Practice address
4401 Garth Rd
Baytown, TX 77521-2122
Phone
(832) 556-6351
Fax
(713) 799-9598
NPI assigned
Mar 21, 2018
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 318288 NY
Hospitalist Physician 208M00000X U8829 TX
Neurology Physician 2084N0400X 01095840A IN Primary

Addresses

Primary practice location

4401 Garth Rd
Baytown, TX 77521-2122

Mailing address

47 New Scotland Avenue, Dept. of Neurology
Albany, NY 12208-3412
Phone (518) 262-6488

Other practice location 1

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000

Other practice location 2

2400 17th St
Columbus, IN 47201-5351
Phone (812) 376-5974

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssureddi59496@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, PA, MO, IN, ME6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20221110000075 NY Practitioner - Neurology 2365787173 Reassigns benefits to 1 organization
I20240418004097 TX Practitioner - Neurology 2365787173 Reassigns benefits to 2 organizations
I20240731003766 PA Practitioner - Neurology 2365787173 Reassigns benefits to 5 organizations
I20250325000311 MO Practitioner - NeurologyPractitioner - Psychiatry 2365787173 Reassigns benefits to 1 organization
I20250417001094 IN Practitioner - Neurology 2365787173 Reassigns benefits to 1 organization
I20250715001392 ME Practitioner - Neurology 2365787173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

155 Wellness Way
State College, PA 16803-6702

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

2160 State Rd
Lancaster, PA 17601-1812

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

360 Broadway
Bangor, ME 04401-3979

4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-4350

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318288NYMDLicensed Practical Nurse
01095840AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Albany Medical College Neurology CurrentSince Oct 17, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Missouri Delta Medical Center CurrentSince Dec 26, 2024 Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Missouri Delta Medical Center Neurology CurrentSince Dec 26, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jun 17, 2024 Accepting new patients
St. Joseph Medical Group Neurology CurrentSince Jun 17, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Oct 17, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Neurology CurrentSince Oct 17, 2022 Accepting new patients
St. Joseph Medical Group CurrentSince Jun 17, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC Hospitalist CurrentSince Apr 9, 2025 Accepting new patients
Albany Medical College Neurology CurrentSince Oct 17, 2022 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jun 23, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 6, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jun 17, 2024 Accepting new patients
St. Joseph Hospital CurrentSince May 9, 2025 Accepting new patients
TMH Physician Associates PLLC Hospitalist CurrentSince May 6, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Apr 9, 2025 Accepting new patients
Fulton County Medical Center Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

400 Patroon Creek Blvd
Ste 210
Albany, NY 12206
Phone (518) 459-8106

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: ssureddi29970@albanymed.direct-ci.com
  • Direct secure messaging: ssureddi59496@edirect.crh.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 3

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1114421336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVENUE, DEPT. OF NEUROLOGY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212122",
            "telephone_number": "832-556-6351",
            "fax_number": "713-799-9598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 17th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015351",
            "country_code": "US",
            "telephone_number": "812-376-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUREDDI",
        "first_name": "SHAKTHI",
        "middle_name": "NANDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "318288",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U8829",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01095840A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssureddi59496@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.