Suresh Philip, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD00042832 Issued in WA

Practice address

7525 W Deschustes PL
Suite 1a
Kennewick, WA 99336

Phone

(509) 737-8766

Fax

(509) 737-8887

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-Cities Digestive Health Center, P.S.Group PAC ID 1759278633, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tri-Cities Digestive Health Center, PS

  • Endoscopy Clinic/Center
  • Kennewick, WA
  • NPI 1003987868
  Medicare reassignment Care Compare group NPD
• Cam Medical

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1609047398
  NPD (past)
• Mid-Columbia Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Kennewick, WA
  • NPI 1184926834
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1205915147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 W DESCHUSTES PL",
            "address_2": "SUITE 1A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-737-8766",
            "fax_number": "509-737-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 W DESCHUSTES PL",
            "address_2": "SUITE 1A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-737-8766",
            "fax_number": "509-737-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "SURESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00042832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8800113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Peterson, PHARMD
• Kathleen M Peterson, MED
• Rebecca Marie Peterson, RN
• Andrea Christine Peyton, RC
• Kelly Katherine Pflieger, CCC-SLP
• Elizabeth Phillips
• Tabitha Phillips, LMT
• Heather Phipps, D.O.
• Shannon L Phipps, D.O.
• Phoenix Physical Therapy PLLC

• Gastroenterology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.

Verify at the official NPI Registry.