Organization Active NPI

K.R. Suresh Physicians, LLC

  • Nephrology Physician
  • Rocky River, OH
National Provider Identifier
1134186471
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1543370 Issued in OH
Legal business name
K.R. SURESH PHYSICIANS, LLC
Practice address
21851 Center Ridge Rd
309
Rocky River, OH 44116-3976
Phone
(440) 333-8322
Fax
(440) 333-3180
NPI assigned
Apr 28, 2006
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Keelapandal R Suresh, MD.NPI 1760440374
Title
Owner
Phone
(440) 333-8322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 1543370 OH Primary

Addresses

Primary practice location

21851 Center Ridge Rd
309
Rocky River, OH 44116-3976

Mailing address

21851 Center Ridge Rd
309
Rocky River, OH 44116-3976
Phone (440) 333-8322

Other identifiers 1

IdentifierTypeStateIssuer
2594661MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1134186471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "309",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163976",
            "telephone_number": "440-333-8322",
            "fax_number": "440-333-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "309",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163976",
            "telephone_number": "440-333-8322",
            "fax_number": "440-333-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.R. SURESH PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "SURESH",
        "authorized_official_first_name": "KEELAPANDAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-333-8322",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "1543370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2594661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.