Active NPI
K.R. Suresh Physicians, LLC
- Nephrology Physician
- Rocky River, OH
National Provider Identifier
1134186471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 1543370
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keelapandal R Suresh, MD.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2594661 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nephrology Physician
- Rocky River, OH
- NPI 1760440374
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.