Individual provider Active NPI

Suresh Kumar Nekuri, MD

  • Internal Medicine Physician
  • Morristown, TN
National Provider Identifier
1619978657
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD35008 Issued in TN
Practice address
709 McFarland St
Morristown, TN 37814-3977
Phone
(423) 851-4379
Fax
(423) 353-1177
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD35008 TN Primary

Addresses

Primary practice location

709 McFarland St
Morristown, TN 37814-3977

Mailing address

709 McFarland St
Morristown, TN 37814-3977
Phone (423) 353-1175

Other identifiers 1

IdentifierTypeStateIssuer
1512614MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050727000220 TN Practitioner - Internal Medicine 5799741625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

709 McFarland St
Morristown, TN 37814-3977
Phone (423) 353-1175

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD35008TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient'S Clinic Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Westin Clinic, P.C. PastSince Nov 6, 2022 Accepting new patients
Alves Inpatient Services Internal Medicine Past Accepting new patients
Morristown Hamblen Hosp Past Accepting new patients
Bingen Inpatient Services Internal Medicine Past Accepting new patients
University Health System Inc Past Accepting new patients
Instacare PLLC PastSince Aug 25, 2020 Accepting new patients

Locations

1532 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 353-1175

709 McFarland St
Morristown, TN 37814
Phone (423) 353-1175

Organizations & group practices 7

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 2

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1619978657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-353-1175",
            "fax_number": "423-353-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-851-4379",
            "fax_number": "423-353-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKURI",
        "first_name": "SURESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD35008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.