Suresh Rajamanickam, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

72337 Issued in FL

Practice address

1395 S State Road 7
Suite350
Wellington, FL 33414-9325

Phone

(561) 793-3363

Fax

(561) 793-3365

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Noble Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1619259553
  NPD (past)
• William Storms Allergy Clinic PC

  • Allergy & Immunology Physician
  • Colorado Springs, CO
  • NPI 1184635914
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1356417919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "561-793-3363",
            "fax_number": "561-793-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE350",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149325",
            "telephone_number": "561-793-3363",
            "fax_number": "561-793-3365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Northwest Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518122",
            "country_code": "US",
            "telephone_number": "972-528-4811",
            "fax_number": "855-808-0878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Dallas Pkwy Ste 224",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937771",
            "country_code": "US",
            "telephone_number": "972-528-4811",
            "fax_number": "855-828-0878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Medical Center Pt Ste 190",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809078721",
            "country_code": "US",
            "telephone_number": "719-955-6000",
            "fax_number": "855-828-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAMANICKAM",
        "first_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "S9977",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "DR.0065508",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CO",
            "license": "DR.0065508",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "72337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264775300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Management Group Inc
• Jacqueline M Rahman, A.R.N.P.
• Steven Earnest Rahman, MD
• Sal Raichbach, LCSW
• Rainbow Medical Equipment & Supplies
• Katherine Joanna Rakoczy, M.D.
• Jihan Inez Ramadan, PA
• Stacie I Ramey, CCC SLP
• Reinier Alejandro Ramirez Diaz
• Shayra Ramirez

• Specialist in Wellington, FL
• Providers in Wellington, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.