Individual provider Active NPI

Madhav Suri, M.D.

  • Specialist
  • Fresno, CA
National Provider Identifier
1669456539
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51804 Issued in CA
Practice address
7151 N Cedar Ave
Ste. 102
Fresno, CA 93720-3389
Phone
(559) 322-7766
Fax
(559) 322-7120
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A51804 CA Primary

Addresses

Primary practice location

7151 N Cedar Ave
Ste. 102
Fresno, CA 93720-3389

Mailing address

PO Box 25548
Fresno, CA 93729-5548
Phone (559) 322-7766

Other identifiers 1

IdentifierTypeStateIssuer
00A518040MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071208000133 CA Practitioner - Neurology 7911096326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madhav Suri MD, IncGroup PAC ID 1557450962, 3 clinicians

Practice addresses (Care Compare)

7151 N Cedar Ave
Suite 102
Fresno, CA 93720-3389
Phone (559) 322-7766

Hospital & facility affiliations

  • Valley Home Health Home health agency, Fresno, CA, CCN 059227
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51804CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Madhav Suri MD, Inc Specialist CurrentSince Jul 5, 1999 Accepting new patients
Valley Children'S Hospital Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

7151 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 322-7766

Organizations & group practices 3

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 4

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1669456539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25548",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295548",
            "telephone_number": "559-322-7766",
            "fax_number": "559-322-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 N CEDAR AVE",
            "address_2": "STE. 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203389",
            "telephone_number": "559-322-7766",
            "fax_number": "559-322-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "MADHAV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A518040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.