Individual provider Active NPI

Damodhar Pattabiraman Suresh, M.D.

  • Interventional Cardiology Physician
  • Edgewood, KY
National Provider Identifier
1356348346
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
37142 Issued in KY
Practice address
711 Medical Village Dr
Edgewood, KY 41017-3439
Phone
(859) 287-3045
Fax
(859) 578-3800
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 01085789A IN
Cardiovascular Disease Physician 207RC0000X 37142 KY
Cardiovascular Disease Physician 207RC0000X 35-06-8603-S OH
Interventional Cardiology Physician 207RI0011X 37142 KY Primary

Addresses

Primary practice location

711 Medical Village Dr
Edgewood, KY 41017-3439

Mailing address

P.O. Box 636324
Cincinnati, OH 45263-6324
Phone (859) 344-5555

Other identifiers 11

IdentifierTypeStateIssuer
0369016OtherKYMEDICARE
0562616OtherKYMEDICARE
0969497OtherKYMEDICARE PTAN
64962830MedicaidKY
060067789OtherRAILROAD MEDICARE
611300608064OtherOHCARESOURCE
2000420MedicaidOH
P00893681OtherOHRAILROAD MEDICARE
P00922859OtherKYRAIL ROAD MEDICARE
50024711OtherKYPASSPORT MEDICAID
0369209OtherKYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070716000185 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406743822 Reassigns benefits to 2 organizations
I20211008000202 IN Practitioner - Interventional Cardiology 6406743822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, shared by 11 NPIs, 803 clinicians
St Elizabeth Medical Center, IncGroup PAC ID 0648174623, 187 clinicians

Practice addresses (Care Compare)

606 Wilson Creek Rd
St Elizabeth Physicians
Lawrenceburg, IN 47025-1095
Phone (812) 532-2802

711 Medical Village Dr
Edgewood, KY 41017-3439
Phone (859) 301-9010

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045
  • St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
  • St Elizabeth Grant Hospital, Williamstown, KY, CCN 181311
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01085789AINMDInterventional Cardiology Physician
37142KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc CurrentSince Jul 8, 2021 Accepting new patients
Summit Medical Group, Inc Current Accepting new patients
Comprehensive Cardiology Cons Inc Cardiovascular Disease Past Accepting new patients
University Internal Medicine Associates, Inc. Cardiovascular Disease Past Accepting new patients

Locations

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

606 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 537-5558

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737

334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065

350 Thomas More Pkwy
Ste 280
Crestview Hills, KY 41017
Phone (606) 426-0800

520 Violet Rd
Crittenden, KY 41030
Phone (606) 428-1114

20 Medical Village Dr
Ste 394
Edgewood, KY 41017
Phone (859) 331-3353

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

711 Medical Village Dr
Edgewood, KY 41017
Phone (859) 287-3045

7370 Turfway Rd
Ste 109
Florence, KY 41042
Phone (513) 872-5700

7388 Turfway Rd
Florence, KY 41042
Phone (606) 331-9000

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

8251 Pine Rd
Ste 220
Cincinnati, OH 45236
Phone (513) 246-4550

Interoperability endpoints

  • Direct secure messaging: dsuresh25383@direct-prd.stelizabeth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1356348346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 636324",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636324",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173439",
            "telephone_number": "859-287-3045",
            "fax_number": "859-578-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURESH",
        "first_name": "DAMODHAR",
        "middle_name": "PATTABIRAMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01085789A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "37142",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-06-8603-S",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
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            "license": "37142",
            "primary": true
        }
    ],
    "identifiers": [
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
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            "state": "KY"
        },
        {
            "code": "01",
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            "issuer": "MEDICARE",
            "identifier": "0562616",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0969497",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64962830",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060067789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "611300608064",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000420",
            "state": "OH"
        },
        {
            "code": "01",
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            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00893681",
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        },
        {
            "code": "01",
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            "identifier": "P00922859",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "50024711",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0369209",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.