Active NPI
Suresh K Madan, MD
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1326130618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-13618
- Practice address
- 550 S Beretania St
4TH Floor
Honolulu, HI 96813-2496 - Phone
- (808) 537-2211
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-13618 | HI | Primary |
Addresses
Primary practice location
550 S Beretania St
4TH Floor
Honolulu, HI 96813-2496
Mailing address
550 S Beretania St
4TH Floor
Honolulu, HI 96813-2496
Phone (808) 537-2211
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019141 | Other | HI | UHA |
| 577819-01 | Medicaid | HI | |
| MD13618 | Other | HI | MDX |
| 0000257345 | Other | HI | HMSA |
| 534341 | Other | HI | HMN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-13618 | HI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1326130618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST",
"address_2": "4TH FLOOR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132496",
"telephone_number": "808-537-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST",
"address_2": "4TH FLOOR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132496",
"telephone_number": "808-537-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADAN",
"first_name": "SURESH",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-13618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "019141",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "577819-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX",
"identifier": "MD13618",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000257345",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMN",
"identifier": "534341",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.