Organization Active NPI

Suresh B Neelagaru MD PA

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1639359458
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L-4593 Issued in TX
Legal business name
SURESH B NEELAGARU MD PA
Practice address
7430 Barlite Blvd Ste 108
San Antonio, TX 78224-1366
Phone
(210) 718-0850
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Dr. Suresh B. Neelagaru, M.D., P.A.
Title
Physician
Phone
(210) 718-0850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X L-4593 TX Primary

Addresses

Primary practice location

7430 Barlite Blvd Ste 108
San Antonio, TX 78224-1366

Mailing address

PO Box 90688
San Antonio, TX 78209-9089
Phone (210) 718-0850

Other practice location 1

6111 W Amarillo Blvd
Amarillo, TX 79106-1901
Phone (806) 352-9090

Other practice location 2

1840 NE Loop 410
Ste 100
San Antonio, TX 78217
Phone (210) 718-0850

Other identifiers 3

IdentifierTypeStateIssuer
DB5006OtherMEDICARE B - RAIL ROAD
0092LEOtherBCBS-TX
168034001MedicaidTX

Other names 1

  • SAN ANTONIO CARDIOVASCULAR AND RHYTHM CENTER ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

614 S Business Ih 35
Ste A
New Braunfels, TX 78130
Phone (210) 718-0850

900 Oblate Dr
San Antonio, TX 78216
Phone (210) 314-4055

5975 FM 78
Ste 300
San Antonio, TX 78244
Phone (210) 662-0076

1202 E Sonterra Blvd
Ste 604
San Antonio, TX 78258
Phone (210) 844-2393

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1639359458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90688",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782099089",
            "telephone_number": "210-718-0850",
            "fax_number": "210-519-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 BARLITE BLVD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241366",
            "telephone_number": "210-718-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6111 W Amarillo Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061901",
            "country_code": "US",
            "telephone_number": "806-352-9090",
            "fax_number": "806-803-9397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 NE Loop 410",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78217",
            "country_code": "US",
            "telephone_number": "210-718-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURESH B NEELAGARU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "NEELAGARU",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-718-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L-4593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B - RAIL ROAD",
            "identifier": "DB5006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TX",
            "identifier": "0092LE",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168034001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN ANTONIO CARDIOVASCULAR AND RHYTHM CENTER ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.