Amod O Sureka, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

077948 Issued in GA

Practice address

2675 N Decatur Rd Ste 110
Decatur, GA 30033-6130

Phone

(770) 979-8080

Fax

(770) 979-8099

NPI assigned

Jul 5, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physical Medicine and Rehabilitation

Education

Southern Illinois University School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.28 of 100Reported as group

Quality

75.54

Promoting interoperability

87

Improvement activities

40

Cost

55.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

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.

• Georgia Pain and Wellness Center

  dba Summit Spine and Joint Centers

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1356781181
  Medicare reassignment Care Compare group NPD
• Georgia Pain and Wellness Center

  dba Summit Spine & Joint Centers

  • Interventional Pain Medicine Physician
  • Newnan, GA
  • NPI 1427820190
  NPD
• Georgia Pain and Wellness Center

  dba Summit Spine & Joint Centers

  • Interventional Pain Medicine Physician
  • Braselton, GA
  • NPI 1538671847
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548291750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD STE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336130",
            "telephone_number": "770-979-8080",
            "fax_number": "770-979-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD STE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336130",
            "telephone_number": "770-979-8080",
            "fax_number": "770-979-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUREKA",
        "first_name": "AMOD",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "077948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107639",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Lao Sun-Isbell, REGISTERED NURSE
• Aditi Bhattacharjee Sundaresan, PA-C, MPH
• Ee-Rah Sung, DO
• Super Smiles PC
• Supreme Healthcare OB/GYN LLC
• Surgical Associates, LLC
• Susan McCarthy Furman, PH.D., LLC
• Rachel Lee Sutherland, PT
• Maria Luisa Sutherlin, RPH
• Barbara Carol Sutton, RN, MSN

• Physical Medicine & Rehabilitation Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.