Individual provider Active NPI

Suman M Radhakrishna, MD

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1225069248
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51467 Issued in CA
Practice address
9001 Wilshire Blvd
Suite 203
Beverly Hills, CA 90211-1838
Phone
(310) 274-6671
Fax
(310) 659-6237
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A51467 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd
Suite 203
Beverly Hills, CA 90211-1838

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (310) 274-6671

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suman.radhakrishna@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20060918000473 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0446255855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Southern California Infectious Disease Medical GroupGroup PAC ID 5799714135, 3 clinicians

Practice addresses (Care Compare)

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

2535 Townsgate Rd
Suite 100
Westlake Village, CA 91361-5986
Phone (213) 483-0901

Hospital & facility affiliations

  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51467CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2019 Accepting new patients
Southern California Infectious Disease Medical Group CurrentSince Jan 1, 2006 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2019 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9001 Wilshire Blvd
Ste 203
Beverly Hills, CA 90211
Phone (310) 273-0943

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

201 S Alvarado St
Ste 820
Los Angeles, CA 90057
Phone (213) 483-0901

1245 Wilshire Blvd
Ste 403
Los Angeles, CA 90017
Phone (213) 482-1046

2535 Townsgate Rd
Ste 100
Westlake Vlg, CA 91361
Phone (213) 483-0901

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: suman.radhakrishna@direct.usc.edu

Organizations & group practices 10

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 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1225069248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "310-274-6671",
            "fax_number": "310-659-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "SUITE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-274-6671",
            "fax_number": "310-659-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNA",
        "first_name": "SUMAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suman.radhakrishna@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9001 Wilshire Blvd",
            "address_2": "SUITE 203",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902111838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.