Smitha Suravaram, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.128727 Issued in IL

Practice address

121 Fairfield Way
Ste 207
Bloomingdale, IL 60108-1588

Phone

(630) 529-7427

Fax

(630) 529-9937

NPI assigned

May 16, 2008

Last updated

May 5, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Primary Care PC

  • Internal Medicine Physician
  • Algonquin, IL
  • NPI 1225344906
  Medicare reassignment NPD
• Horizon Medical Center, LTD.

  dba Horizon Medical Center

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1659463917
  NPD
• Heal N Cure

  • Internal Medicine Physician
  • Northbrook, IL
  • NPI 1104955905

  Family Medicine

  NPD (past)
• Suburban Home Physicians,LLC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1770722407
  NPD (past)

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1417114620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 BURBERRY LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732187",
            "telephone_number": "507-271-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FAIRFIELD WAY",
            "address_2": "STE 207",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081588",
            "telephone_number": "630-529-7427",
            "fax_number": "630-529-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAVARAM",
        "first_name": "SMITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.128727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Stromberg, ATC
• Mahrukh Subhani, M.D.
• Suburban Podiatry Associates, P.C.
• Sunshine Speech
• Superior Rehabmed Supplies Inc
• Sureguard LLC
• Swan Primary Care PLLC
• Carrie A Swanson
• Amreen Syed Zahur Ahmed
• Adam Christopher Szatkowski, D.D.S.

• Family Medicine Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.