Madhav Suri MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A51804 Issued in CA

Legal business name

MADHAV SURI MD, INC

Practice address

7151 N Cedar Ave Ste 102
Fresno, CA 93720-3389

Phone

(559) 322-7766

Fax

(559) 322-7120

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Raquel De Los Santos

Title

Medical Biller

Phone

(559) 322-7766

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 3

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

• Arjun Suri

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
  • NPI 1144609371
  Medicare reassignment Care Compare group NPD
• Madhav Suri, M.D.

  • Specialist
  • Fresno, CA
  • NPI 1669456539
  Medicare reassignment Care Compare group NPD
• Jenina Muscat, FNP-C

  • Nurse Practitioner
  • Fresno, CA
  • NPI 1740745124
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1306057849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25548",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295548",
            "telephone_number": "559-322-7766",
            "fax_number": "559-322-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 N CEDAR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203389",
            "telephone_number": "559-322-7766",
            "fax_number": "559-322-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHAV SURI MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "559-322-7766"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A518040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Maddox
• Kasha S Maddox
• Veronica Maddox
• Made WH-Le
• Alex Madera
• Nagaratnamma Madireddy, M.D.
• Celina Marie Madrid
• Culeen Cruz Madrid
• Jordan Madrid
• Mary Christina Madrid, CADTP 19318

• Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.