Seetha Devi Sureddi, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

11979 Issued in OK

Practice address

1400 Bryan Dr
Suite 300
Durant, OK 74702

Phone

(580) 924-1700

Fax

(580) 924-1736

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Doctors Clinic of Durant Inc

  • Rural Health Clinic/Center
  • Durant, OK
  • NPI 1457558827
  NPD (past)
• Doctors Clinic of Durant Inc

  • Family Medicine Physician
  • Durant, OK
  • NPI 1598850331
  NPD (past)
• Surgery Center at Durant LLC

  • Ambulatory Surgical Clinic/Center
  • Durant, OK
  • NPI 1275580813
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1376581314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 301",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "580-924-1700",
            "fax_number": "580-924-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "SUITE 300",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "74702",
            "telephone_number": "580-924-1700",
            "fax_number": "580-924-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUREDDI",
        "first_name": "SEETHA",
        "middle_name": "DEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "11979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016390A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seetha.sureddi.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1400 Bryan Dr",
            "address_2": "SUITE 300",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christy Renae Summers, RBT
• Miranda F Summit, M.ED
• James R Sumner, D.O.
• Sunset Hospice LLC
• Koteswar Rao Sureddi, M.D.
• Surgery Center at Durant LLC
• Joshua John Swearingen, MBS
• Stefanie Swedelson
• Reika Elizabeth Takita, DO
• Amy Talbert

• Obstetrics & Gynecology Physician in Durant, OK
• Providers in Durant, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.