Surender Vuthoori, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A33804 Issued in CA

Practice address

63532 29 Palms Hwy
Ste a
Joshua Tree, CA 92252

Phone

(760) 366-8491

Fax

(760) 346-2471

NPI assigned

Feb 2, 2007

Sex

Male

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 5

Medicare fee-for-service enrollment

Enrolled in CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Associates Corporation

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1003866120
  Medicare reassignment NPD
• Surender Vuthoori MD Inc

  • Cardiovascular Disease Physician
  • Rancho Mirage, CA
  • NPI 1407924996
  NPD Authorized official
• Surender Vuthoori MD Inc

  • Cardiovascular Disease Physician
  • Joshua Tree, CA
  • NPI 1073626503
  Authorized official Same address or phone
• Sonotec Mobile Imaging Inc.

  • Mobile Radiology Clinic/Center
  • Rancho Mirage, CA
  • NPI 1770942625
  NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1437297298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "address_2": "6353229 PALMS HWY STE A",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "92252",
            "telephone_number": "760-366-8491",
            "fax_number": "760-346-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63532 29 PALMS HWY",
            "address_2": "STE A",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "92252",
            "telephone_number": "760-366-8491",
            "fax_number": "760-346-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUTHOORI",
        "first_name": "SURENDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A33804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A338041",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A338040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "756061629",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A338040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "953529571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Thornton, LMFT
• Julie Trovato
• Benjamin Truncale, RD,RN
• United States Navy
• Valley Star Behavioral Health, Inc. (Valley Star CRT - Morongo Oasis)
• Nicole Amy Wetherholt, PA-C
• White Feather Physicians PC
• Flanagan Whitsitt, PA
• Bobbi J Wignall, LVN
• William Stephen Bush, M.D., a Medical Corporation

• Cardiovascular Disease Physician in Joshua Tree, CA
• Providers in Joshua Tree, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.