Individual provider Active NPI

Suresh Lakshminarayanan, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Ocala, FL
National Provider Identifier
1275531279
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME74871 Issued in FL
Practice address
2980 SE 3Rd CT
Ocala, FL 34471-0421
Phone
(352) 622-4231
Fax
(352) 622-0513
NPI assigned
Jul 13, 2005
Reactivated
Mar 31, 2006
Last updated
Sep 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME74871 FL Primary

Addresses

Primary practice location

2980 SE 3Rd CT
Ocala, FL 34471-0421

Mailing address

2980 SE 3Rd CT
Ocala, FL 34471-0421
Phone (352) 622-4231

Other identifiers 3

IdentifierTypeStateIssuer
254814300MedicaidFL
CD4677OtherFLRRMC (GRP)
390007730OtherFLRRMC (IND)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100811000837 FL Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 1951435080 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Kidney Group Inc CurrentSince Apr 1, 1998 Accepting new patients
Ocala Kidney Group Inc CurrentSince Jul 25, 2021 Accepting new patients

Locations

2980 SE 3rd Ct
Ocala, FL 34471
Phone (352) 622-4231

2980 SE 3rd Ct
Ste G
Ocala, FL 34471
Phone (352) 622-4231

8613 SW 103rd Street Rd
Ocala, FL 34481
Phone (352) 622-4231

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1275531279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710421",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710421",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKSHMINARAYANAN",
        "first_name": "SURESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-09-25",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME74871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254814300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC (GRP)",
            "identifier": "CD4677",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC (IND)",
            "identifier": "390007730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.