Active NPI
Surekha Neeli, MD
- Nephrology Physician
- Phoenixville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD440348
- Practice address
- 824 Main St Ste 204
Phoenixville, PA 19460-4478 - Phone
- (610) 649-1175
- Fax
- (610) 983-3903
- NPI assigned
- Nov 6, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD440348 | PA | Primary |
Addresses
Primary practice location
824 Main St Ste 204
Phoenixville, PA 19460-4478
Mailing address
824 Main St Ste 204
Phoenixville, PA 19460-4478
Phone (610) 649-1175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102516968 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sneeli13918@direct.acumenmd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101004000575 | PA | Practitioner - Nephrology | 7012109598 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
227 N Broad St
Suite 301
Philadelphia, PA 19107-1503
Phone (215) 762-7785
Hospital & facility affiliations
- DaVita Girard Estates Dialysis
- DaVita Franklin Dialysis at Home
- Thomas Jefferson University Hospital
- Mercy Catholic Medical Center- Mercy Fitzgerald
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Renal Associates, LLC | Nephrology | Current | Accepting new patients |
| Bucks County Kidney Specialists, PC | Nephrology | Current | Accepting new patients |
| Core Kidney Care PLLC | Nephrology | Current | Accepting new patients |
| Clinical Nephrology Associates, LTD. | Nephrology | Past | Accepting new patients |
| Nephrology Associates Inc | Nephrology | Past | Accepting new patients |
Locations
30 Medical Center Blvd
Ste 303
Chester, PA 19013
1503 Lansdowne Ave
Ste 3005
Darby, PA 19023
Phone (610) 237-4122
527 Plymouth Rd
Unit 741
Gwynedd Valley, PA 19437
402 Middletown Blvd
Ste 214
Langhorne, PA 19047
Phone (215) 752-8700
701 Lansdale Ave
Lansdale, PA 19446
Phone (215) 368-0900
227 N Broad St
Ste 301
Philadelphia, PA 19107
Phone (215) 762-7785
100 E Lehigh Ave
#104
Philadelphia, PA 19125
Phone (215) 762-7785
1930 S Broad St
Ste L
Philadelphia, PA 19145
Phone (215) 465-5878
251 Stenton Ave
Plymouth Mtng, PA 19462
Phone (215) 987-3663
Interoperability endpoints
- sneeli3822690@direct.trinity-health.org
- https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
- surekha.neeli.1@3389.direct.athenahealth.com
- sneeli13918@direct.acumenmd.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.
-
- Nephrology Physician
- Langhorne, PA
- NPI 1407169675
Nephrology, PA
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1457447799
Nephrology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1295344307
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1962651257
Dialysis facility
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1649424474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 MAIN ST STE 204",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604478",
"telephone_number": "610-649-1175",
"fax_number": "610-983-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 MAIN ST STE 204",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604478",
"telephone_number": "610-649-1175",
"fax_number": "610-983-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELI",
"first_name": "SUREKHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD440348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102516968",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sneeli13918@direct.acumenmd.com",
"affiliation": "N",
"address_1": "1230 S Cedar Crest Blvd Ste 30302304",
"city": "Allentown",
"state": "PA",
"country_code": "US",
"postal_code": "181036367",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.