Nicholas Paul Suraci, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036.156359 Issued in IL

Practice address

4646 N Morine Dr
Department of Anesthesiology
Chicago, IL 60640

Phone

(773) 878-8700

NPI assigned

May 16, 2016

Reactivated

Jul 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

State licenses

Practice roles

Locations

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.

• Compass Anesthesia Providers PLLC

  • Anesthesiology Physician
  • Webster, TX
  • NPI 1669829750
  Medicare reassignment NPD
• Dynamic Anesthesia Providers PLLC

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1346752326
  Medicare reassignment NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas - Dallas PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1164174124
  Medicare reassignment NPD
• Sound Physicians Anesthesiology of Texas PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1295356277
  Medicare reassignment NPD
• Texans Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Webster, TX
  • NPI 1275733982
  Medicare reassignment NPD
• Apex Frontier Group, PLLC

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1417808627
  Medicare reassignment
• Sherman MD Provider Inc

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1841696846
  Medicare reassignment
• Sherman MD Provider Inc

  • Specialist
  • Houston, TX
  • NPI 1669367256

  Anesthesiology

  NPD
• Sherman MD Provider Inc

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1871476309
  NPD

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1407203805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N MORINE DR",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-878-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MORINE DR",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-878-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACI",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "deactivation_date": "2021-06-30",
        "reactivation_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.075397",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.156359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme Home Healthcare LLC
• Supreme MD Inc.
• Gaminee Patel Sura, OTR/L
• Harsh Rohitkumar Sura, M.B.B.S
• Divya Meher Surabhi, MD, MPH
• Hussam Suradi, M.D.
• Elizabeth Jane Suran, M.ED., LCPC, LMFT
• Amit Surapaneni
• Sushitha Suraparaju, M.P.T
• Suchitra Surapiboonchai, CRNA

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.