NPIMap

Individual provider Active NPI

Suman Madanlal Wasan, MD

  • Vascular Surgery Physician
  • Winston Salem, NC
National Provider Identifier
1427027242
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2019-01868 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-7521
Phone
(336) 716-4151
Fax
(336) 716-0524
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019-01868 NC
Cardiovascular Disease Physician 207RC0000X 2019-01868 NC
Vascular Surgery Physician 2086S0129X 2019-01868 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-7521

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (367) 164-1513

Other practice location 1

4414 Lake Boone Trl Ste 505
Raleigh, NC 27607-7521
Phone (919) 784-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918001762 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General SurgeryPractitioner - Internal MedicinePractitioner - Vascular Surgery 7012921372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Vascular Surgery
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Aug 4, 2025 Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients
Rex Hospital Inc Cardiovascular Disease Past Accepting new patients

Locations

306 Westwood Ave
High Point, NC 27262
Phone (336) 885-6168

306 Westwood Ave
Ste 401
High Point, NC 27262
Phone (336) 885-6168

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: swasan3024588@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: swasan549681@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1427027242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "367-164-1513",
            "fax_number": "336-716-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271577521",
            "telephone_number": "336-716-4151",
            "fax_number": "336-716-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 Lake Boone Trl Ste 505",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077521",
            "country_code": "US",
            "telephone_number": "919-784-2300",
            "fax_number": "919-784-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASAN",
        "first_name": "SUMAN",
        "middle_name": "MADANLAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-01868",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2019-01868",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "2019-01868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.