Suresh A Koneswaran, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2014-00260 Issued in NC

Practice address

518 S Van Buren Rd
Suite 3
Eden, NC 27288-5033

Phone

(336) 623-7881

Fax

(336) 623-5457

NPI assigned

Dec 7, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1245413673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S VAN BUREN RD",
            "address_2": "SUITE 3",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885033",
            "telephone_number": "336-623-7881",
            "fax_number": "336-623-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S VAN BUREN RD",
            "address_2": "SUITE 3",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885033",
            "telephone_number": "336-623-7881",
            "fax_number": "336-623-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONESWARAN",
        "first_name": "SURESH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2014-00260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200957430",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kernodles Family Care No-1
• Roy Robert Keys, MD
• Laura Khorozov, M.A.,CCC-SLP
• Anne B King, M.D.
• Robert Alan Klein, DPM
• Justin Thomas Koontz, DMD
• Sean Leonard Kyle, PA-C
• Mary Robertson Lafar, PTA
• Frank Justin Lauzau, M.D.
• Laverne'S Haven Residential Services

• Cardiovascular Disease Physician in Eden, NC
• Providers in Eden, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.