Active NPI
Damodhar Pattabiraman Suresh, M.D.
- Interventional Cardiology Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 37142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369016 | Other | KY | MEDICARE |
| 0562616 | Other | KY | MEDICARE |
| 0969497 | Other | KY | MEDICARE PTAN |
| 64962830 | Medicaid | KY | |
| 060067789 | Other | RAILROAD MEDICARE | |
| 611300608064 | Other | OH | CARESOURCE |
| 2000420 | Medicaid | OH | |
| P00893681 | Other | OH | RAILROAD MEDICARE |
| P00922859 | Other | KY | RAIL ROAD MEDICARE |
| 50024711 | Other | KY | PASSPORT MEDICAID |
| 0369209 | Other | KY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
- St Elizabeth Florence
- St Elizabeth Ft Thomas
- St Elizabeth Grant
- St Elizabeth Dearborn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01085789A | IN | MD | Interventional Cardiology Physician |
| 37142 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Current | 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
- 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.
-
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1881875193
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1588620850
Cardiovascular Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
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",
"state": "KY",
"license": "37142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0369016",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"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",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00893681",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00922859",
"state": "KY"
},
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.