Individual provider Active NPI

Surekha Neeli, MD

  • Nephrology Physician
  • Phoenixville, PA
National Provider Identifier
1649424474
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD440348 Issued in PA
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

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102516968MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000575 PA Practitioner - NephrologyPractitioner - Internal Medicine 7012109598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

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 Dialysis facility, Philadelphia, PA, CCN 392823
  • DaVita Franklin Dialysis at Home Dialysis facility, Philadelphia, PA, CCN 392756
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Renal Associates, LLC Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Bucks County Kidney Specialists, PC Nephrology CurrentSince Dec 1, 2024 Accepting new patients
Core Kidney Care PLLC Nephrology CurrentSince May 1, 2024 Accepting new patients
Clinical Nephrology Associates, LTD. Nephrology PastSince Jun 1, 2025 Accepting new patients
Nephrology Associates Inc Nephrology PastSince Nov 19, 2023 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

  • Direct secure messaging: sneeli3822690@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: surekha.neeli.1@3389.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.