Sudarshan Kumar Suneja, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MDR1B77 Issued in MO

Practice address

533 Couch Ave
Suite 270
Kirkwood, MO 63122-5561

Phone

(314) 495-7212

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Illinois Department of Human Services

  • Intellectual Disabilities Intermediate Care Facility
  • Centralia, IL
  • NPI 1003960394
  NPD
• Illinois Department of Human Services

  • Psychiatric Hospital
  • Chester, IL
  • NPI 1306834726
  NPD
• Illinois Department of Human Services

  • Psychiatric Hospital
  • Hines, IL
  • NPI 1902903487
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659478840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12847 HICKORY WOODS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311828",
            "telephone_number": "314-821-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 COUCH AVE",
            "address_2": "SUITE 270",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225561",
            "telephone_number": "314-495-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNEJA",
        "first_name": "SUDARSHAN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MDR1B77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carol Strauss-Barrett, LPC, LCSW
• Strength to Stand Counseling, LLC
• Pratistha Strong, DO
• John C Strupel, MD
• Summit BHC Saint Louis, LLC
• Rajesh Swaminathan, M.D.
• Sweet Peace Balance LLC
• Elena Dodd Switzer, MSW, LCSW
• T.a.V.E.R.N. Health and Wellness, LLC
• Margaret Ann Taber, LCSW

• Psychiatry Physician in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.