Active NPI
Shakthi Nandan Sureddi, MD
- Neurology Physician
- Baytown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01095840A
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Eastern Virginia Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 318288 | NY | MD | Licensed Practical Nurse |
| 01095840A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulton County Medical Center | Current | Accepting new patients | |
| Albany Medical College | Neurology | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Fulton County Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Neurology | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| St. Joseph Medical Group | Neurology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Neurology | Current | Accepting new patients |
| St. Joseph Medical Group | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Albany Medical College | Neurology | Current | Accepting new patients |
| Mount Nittany Medical Center Health Services Inc | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| St. Joseph Hospital | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Hospitalist | Current | Accepting new patients |
| Columbus Regional Health Physicians, LLC | Current | 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
- ssureddi29970@albanymed.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Columbus, IN
- NPI 1336510098
Hospitalist
-
dba Mount Nittany Physician Group
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1326044694
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist Baytown Hospital
- General Acute Care Hospital
- Baytown, TX
- NPI 1891789772
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
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
- Sufficient Grace Therapy, PLLC
- Cindy Luanne Sullivan, FNP
- Danielle Sullivan, M.S. CCC SLP
- Zheng Sun
- Sunrise Vista, LLC (Mann Eye 2 Optical)
- Susan L Baldwin MD PA
- Charles Herman Swallow, AGACNP-BC
- Laird A Sweet, MD
- Dionysia Marie Swett, PA-C
- Syed a. Khalid, D.D.S., M.S., PLLC (Baytown Periodontics and Dental Implantology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.