Active NPI
Jose A.T. Suros, M.D.
- Specialist
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0065736
- Practice address
- 6410 Rockledge Dr
Suite 110
Bethesda, MD 20817-1809 - Phone
- (301) 530-7303
- Fax
- (301) 530-7312
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0065736 | MD | Primary |
Addresses
Primary practice location
6410 Rockledge Dr
Suite 110
Bethesda, MD 20817-1809
Mailing address
6410 Rockledge Dr
Suite 505
Bethesda, MD 20817-1809
Phone (301) 530-7303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Howard University College of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Ballenisle Circle
Palm Beach Gardens, FL 33418
6400 Goldsboro Rd
Suite 340
Bethesda, MD 20817-5824
Phone (301) 493-8884
6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844
Hospital & facility affiliations
- Sibley Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.03 of 100
- Quality
- 24.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065736 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark D. Klaiman, M.D., L.C. | Specialist | Current | Accepting new patients |
| Mark D. Klaiman, M.D., L.C. PT | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6400 Goldsboro Rd
Ste 340
Bethesda, MD 20817
Phone (301) 244-9099
Interoperability endpoints
- jsuros@mdkml-md.direct.office.nextgen.com
Organizations & group practices 5
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.
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- Physical Therapy Clinic/Center
- Palm Beach Gardens, FL
- NPI 1841045259
-
- Physical Therapy Clinic/Center
- Bethesda, MD
- NPI 1619465028
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1609998434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "SUITE 505",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "301-530-7303",
"fax_number": "301-530-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "SUITE 110",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "301-530-7303",
"fax_number": "301-530-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUROS",
"first_name": "JOSE",
"middle_name": "A.T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0065736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.