Krishna Surapaneni, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A49872 Issued in CA

Practice address

1000 S Anaheim Blvd Ste 300
Anaheim, CA 92805-5804

Phone

(714) 399-0046

Fax

(714) 399-0049

NPI assigned

Jan 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Southwest Healthcare of Brown County Ohio, LLC

  • Rural Health Clinic/Center
  • Bethel, OH
  • NPI 1164755179
  NPD (past) Authorized official
• Castle Hills Medical Group

  • Internal Medicine Physician
  • Carrollton, TX
  • NPI 1922612977
  NPD
• Southwest Regional Home Care Inc.

  • Home Health Agency
  • Georgetown, OH
  • NPI 1740379585
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1295030096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S. ANAHEIM BLVD SUITE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-399-0046",
            "fax_number": "714-399-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ANAHEIM BLVD STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055804",
            "telephone_number": "714-399-0046",
            "fax_number": "714-399-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAPANENI",
        "first_name": "KRISHNA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A49872",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A49872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Hospice Care Corporation
• Sunrise Palliative and Hospice Inc
• Sunshine Infectious Disease Medical Group
• Superior Mobile Ultrasound Company
• Rachelle Saldana Suppiphatvong
• B S Suresh, M.D.
• Surgery Center of Anaheim Hills LLC
• Jason Suriyamont
• Bijal Surti, M.D.
• Jessica Suruor

• Gynecology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.