Active NPI
Niraja Sathyanarayanan Suresh, M.D.
- Neurology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME130820
- Practice address
- 2400 Kathleen Rd
Lakeland, FL 33810-3077 - Phone
- (863) 284-6809
- NPI assigned
- Apr 1, 2013
- Last updated
- Mar 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME130820 | FL | Primary |
Addresses
Primary practice location
2400 Kathleen Rd
Lakeland, FL 33810-3077
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other practice location 1
12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742
Phone (813) 972-2000 ext. 7085
Other practice location 2
13330 Usf Laurel Dr
Tampa, FL 33612-6601
Phone (813) 974-2201
Other practice location 3
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Other practice location 4
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-6809
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100567300 | Medicaid | FL | |
| F2WCP | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Niraja Sathyanarayanan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nsuresh148241@direct.tgh.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Eastern Virginia Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 284-6800
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- nsuresh53001@lrhs.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Physical Therapist
- Chesterton, IN
- NPI 1467608687
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trilogy Home Healthcare
- Home Health Agency
- Tampa, FL
- NPI 1740509876
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1336482074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 KATHLEEN RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103077",
"telephone_number": "863-284-6809"
}
],
"practiceLocations": [
{
"address_1": "12901 Bruce B Downs Blvd",
"address_2": "MDC 41",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336124742",
"country_code": "US",
"telephone_number": "813-972-2000 x7085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13330 Usf Laurel Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336126601",
"country_code": "US",
"telephone_number": "813-974-2201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1324 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054543",
"country_code": "US",
"telephone_number": "863-687-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Harden Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338037952",
"country_code": "US",
"telephone_number": "863-284-6809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURESH",
"first_name": "NIRAJA",
"middle_name": "SATHYANARAYANAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME130820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100567300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "F2WCP",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nsuresh148241@direct.tgh.org",
"affiliation": "N",
"address_1": "13330 Usf Laurel Dr",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336126601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NIRAJA",
"last_name": "SATHYANARAYANAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakeland, FL
- Sunspire Health Florida, LLC (WhiteSands Alcohol & Drug Rehab Lakeland)
- Support Therapy Group LLC
- Supreme Comprehensive Health Services, LLC
- Suprina Green (Alaci Care LLC)
- Adithya Suresh, M.D.
- Shreyas Suresh, DO
- Sunitha Suresh, MD
- Surgical Center of Central Florida, LLC
- Surgicare of Central Florida-Lakeland, LLC (Central Florida Surgicenter)
- Luis Javier Suri Bracero
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.