Active NPI
Sailusha Soorneedi, PA-C
- Physician Assistant
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 395-8166
- NPI assigned
- Aug 23, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Phone (937) 438-8910
Other practice location 1
360 W Central Ave
Springboro, OH 45066-1106
Phone (937) 223-4461
Other practice location 2
2350 Miami Valley Dr Ste 310
Centerville, OH 45459-4778
Phone (937) 438-5216
Other practice location 3
1530 Needmore Rd Ste 300
Dayton, OH 45414-3980
Phone (937) 277-4274
Other practice location 4
9000 N Main St Ste 101
Englewood, OH 45415-1184
Phone (937) 832-2425
Other practice location 5
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500
Other practice location 6
100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700
Other practice location 7
6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3410
Other practice location 8
450F Washington Jackson Rd
Eaton, OH 45320-8699
Phone (937) 456-8376
Other practice location 9
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3211
Other practice location 10
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791
Other practice location 11
8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3338
Other practice location 12
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500
Other practice location 13
600 W Main St
Troy, OH 45373-3384
Phone (937) 980-7010
Other practice location 14
1 Kettering Way
Piqua, OH 45356-4146
Phone (937) 916-2625
Other practice location 15
2300 N Limestone St
Springfield, OH 45503-1102
Phone (937) 504-8305
Other practice location 16
600 Aviator Ct Ste 100A
Vandalia, OH 45377-9474
Phone (937) 277-4274
Other practice location 17
1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 401-6228
Other practice location 18
2400 Miami Valley Dr Ste 1000
Centerville, OH 45459-4774
Phone (937) 223-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
1 Wyoming St
Berry Women'S Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381
1530 Needmore Rd
Suite 300
Dayton, OH 45414-3980
Phone (937) 277-4274
2300 Miami Valley Dr
FL 4
Centerville, OH 45459-4779
Phone (937) 276-8320
2350 Miami Valley Dr
Centerville, OH 45459-4778
30 E Apple St
Dayton, OH 45409-2939
360 W Central Ave
Springboro, OH 45066-1106
450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773
6251 Good Samaritan Way
Huber Heights, OH 45424-5464
Phone (937) 832-2425
9000 N Main St
Englewood, OH 45415-1184
Hospital & facility affiliations
- Miami Valley Hospital
- Upper Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Physician Assistant | Current | Accepting new patients |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
2350 Miami Valley Dr
Ste 310
Dayton, OH 45459
Phone (937) 435-4263
1530 Needmore Rd
Ste 300
Dayton, OH 45414
Phone (937) 208-6745
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
9000 N Main St
Ste 101
Englewood, OH 45415
360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
Physician Assistant
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1336868587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 NEWMARK DR STE 220",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453425400",
"telephone_number": "937-438-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-395-8166"
}
],
"practiceLocations": [
{
"address_1": "360 W Central Ave",
"address_purpose": "LOCATION",
"city": "Springboro",
"state": "OH",
"postal_code": "450661106",
"country_code": "US",
"telephone_number": "937-223-4461",
"fax_number": "937-449-7603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2350 Miami Valley Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594778",
"country_code": "US",
"telephone_number": "937-438-5216",
"fax_number": "937-438-5229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1530 Needmore Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454143980",
"country_code": "US",
"telephone_number": "937-277-4274",
"fax_number": "937-641-2655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 N Main St Ste 101",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "OH",
"postal_code": "454151184",
"country_code": "US",
"telephone_number": "937-832-2425",
"fax_number": "937-832-9804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Pentagon Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311705",
"country_code": "US",
"telephone_number": "937-702-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Kettering Way",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "OH",
"postal_code": "450051155",
"country_code": "US",
"telephone_number": "937-458-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6147 State Route 122",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450055201",
"country_code": "US",
"telephone_number": "513-261-3410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450F Washington Jackson Rd",
"address_purpose": "LOCATION",
"city": "Eaton",
"state": "OH",
"postal_code": "453208699",
"country_code": "US",
"telephone_number": "937-456-8376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454057538",
"country_code": "US",
"telephone_number": "937-723-3211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453427615",
"country_code": "US",
"telephone_number": "937-384-8791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8701 Old Troy Pike",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241066",
"country_code": "US",
"telephone_number": "937-558-3338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1141 N Monroe Dr",
"address_purpose": "LOCATION",
"city": "Xenia",
"state": "OH",
"postal_code": "453851619",
"country_code": "US",
"telephone_number": "937-352-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453733384",
"country_code": "US",
"telephone_number": "937-980-7010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Kettering Way",
"address_purpose": "LOCATION",
"city": "Piqua",
"state": "OH",
"postal_code": "453564146",
"country_code": "US",
"telephone_number": "937-916-2625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 N Limestone St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455031102",
"country_code": "US",
"telephone_number": "937-504-8305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Aviator Ct Ste 100A",
"address_purpose": "LOCATION",
"city": "Vandalia",
"state": "OH",
"postal_code": "453779474",
"country_code": "US",
"telephone_number": "937-277-4274",
"fax_number": "937-277-8476",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1997 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454593811",
"country_code": "US",
"telephone_number": "937-401-6228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Miami Valley Dr Ste 1000",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594774",
"country_code": "US",
"telephone_number": "937-223-4461",
"fax_number": "937-449-7603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOORNEEDI",
"first_name": "SAILUSHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.