Organization Active NPI

Suri Karthikeyan MDPC

  • Gastroenterology Physician
  • Brockport, NY
National Provider Identifier
1235457375
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
220745 Issued in NY
Legal business name
SURI KARTHIKEYAN MDPC
Practice address
156 West Ave
Suite 202
Brockport, NY 14420-1229
Phone
(585) 637-8580
Fax
(585) 637-0471
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Dr. Suri Karthikeyan, MD
Title
President
Phone
(585) 637-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 220745 NY Primary

Addresses

Primary practice location

156 West Ave
Suite 202
Brockport, NY 14420-1229

Mailing address

156 West Ave
Suite 202
Brockport, NY 14420-1229
Phone (585) 637-8580

National Provider Directory

National Provider Directory

Locations

80 West Ave
Ste 203
Brockport, NY 14420
Phone (585) 637-8580

156 West Ave
Ste 202
Brockport, NY 14420
Phone (585) 637-8580

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1235457375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "address_2": "SUITE 202",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-637-8580",
            "fax_number": "585-637-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "address_2": "SUITE 202",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-637-8580",
            "fax_number": "585-637-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURI KARTHIKEYAN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "KARTHIKEYAN",
        "authorized_official_first_name": "SURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-637-8580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "220745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.