Individual provider Active NPI

Jose A.T. Suros, M.D.

  • Specialist
  • Bethesda, MD
National Provider Identifier
1609998434
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0065736 Issued in MD
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

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000228 DC Practitioner - NeurologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9931200623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management, Pain Management
Education
Howard University College of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Mark D. Klaiman, M.D., L.C.Group PAC ID 2365653391, 11 clinicians

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 Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
70.03 of 100Reported as individual
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

LicenseStateTypeSpecialty
D0065736MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Klaiman, M.D., L.C. Specialist CurrentSince Apr 1, 2016 Accepting new patients
Mark D. Klaiman, M.D., L.C. PT CurrentSince Apr 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.