NPIMap

Organization Active NPI

Susmitha P. Kolli MD, LLC

  • Ophthalmology Physician
  • Lancaster, OH
National Provider Identifier
1669349593
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SUSMITHA P. KOLLI MD, LLC
Practice address
1500 E Main St Ste 2D
Lancaster, OH 43130-3478
Phone
(740) 653-3527
Fax
(740) 653-3509
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Susmitha Pinnamaneni Kolli, MDNPI 1871582288
Title
Owner
Phone
(740) 653-3527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1500 E Main St Ste 2D
Lancaster, OH 43130-3478

Mailing address

1500 E Main St Ste 2D
Lancaster, OH 43130-3478
Phone (740) 653-3527

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1669349593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MAIN ST STE 2D",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303478",
            "telephone_number": "740-653-3527",
            "fax_number": "740-653-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MAIN ST STE 2D",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303478",
            "telephone_number": "740-653-3527",
            "fax_number": "740-653-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSMITHA P. KOLLI MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "KOLLI",
        "authorized_official_first_name": "SUSMITHA",
        "authorized_official_middle_name": "PINNAMANENI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-653-3527",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.