NPIMap

Individual provider Active NPI

Vanaja Sureddi, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1184895286
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 75584 Issued in FL
Practice address
3355 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4354
Phone
(561) 622-0404
Fax
(561) 622-9755
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 75584 FL Primary

Addresses

Primary practice location

3355 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4354

Mailing address

3355 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4354
Phone (561) 622-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000289 FL Practitioner - Internal Medicine 4082787965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

3355 Burns Rd
Suite 103
Palm Beach Gardens, FL 33410-4354
Phone (561) 622-0404

7100 Fairway Dr
Suite 42
Palm Beach Gardens, FL 33418-3778
Phone (561) 775-7775

Hospital & facility affiliations

  • Appleton Home Health Services LLC Home health agency, Boynton Beach, FL, CCN 109757
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
  • Complete Home Care of the Palm Beaches LLC Home health agency, Greenacres, FL, CCN 109697
  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Nursing Center at La Posada, The Nursing home, Palm Beach Gardens, FL, CCN 106067
  • Gardens Court Nursing home, Palm Beach Gardens, FL, CCN 105921

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 75584FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanaja Sureddi MD PA Internal Medicine CurrentSince Apr 28, 2008 Accepting new patients
Wolpe-Finkbeiner, M.D. PA Internal Medicine Past Accepting new patients

Locations

3355 Burns Rd
Ste 103
Palm Beach Gardens, FL 33410
Phone (561) 622-0404

Interoperability endpoints

  • Direct secure messaging: vsureddi20969@jupitermedicalcenter.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184895286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104354",
            "telephone_number": "561-622-0404",
            "fax_number": "561-622-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104354",
            "telephone_number": "561-622-0404",
            "fax_number": "561-622-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUREDDI",
        "first_name": "VANAJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 75584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.