Individual provider Active NPI

Suresh Kumar, M.D.

  • Neurology Physician
  • Shreveport, LA
National Provider Identifier
1639375793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD201501 Issued in LA
Practice address
3330 Youree Dr
Shreveport, LA 71105-2116
Phone
(318) 286-6969
Fax
(318) 866-9555
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD201501 LA Primary

Addresses

Primary practice location

3330 Youree Dr
Shreveport, LA 71105-2116

Mailing address

3330 Youree Dr
Shreveport, LA 71105-2116
Phone (318) 286-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080116000252 LA Practitioner - Neurology 0749361756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3555 Youree Dr
Shreveport, LA 71105-2119
Phone (318) 865-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD201501LAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Neuro Active Patient Care LLC Current Accepting new patients
Neurology & Headache Center Inc. Current Accepting new patients
Dental Health Clinic, Inc. Past Accepting new patients

Locations

3555 Youree Dr
Shreveport, LA 71105
Phone (318) 865-1200

Interoperability endpoints

  • Direct secure messaging: suresh.kumar.1@13131.direct.athenahealth.com
  • Direct secure messaging: suresh.kumar.1@11198.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639375793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052116",
            "telephone_number": "318-286-6969",
            "fax_number": "318-866-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052116",
            "telephone_number": "318-286-6969",
            "fax_number": "318-866-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SURESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD201501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.