NPIMap

Individual provider Active NPI

Ramkrishna Surendran, M.D.

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1679507669
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301075798 Issued in MI
Practice address
1349 South Rochester Road
Suite 100
Rochester Hills, MI 48307-3151
Phone
(248) 759-5460
Fax
(248) 923-2446
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301075798 MI Primary

Addresses

Primary practice location

1349 South Rochester Road
Suite 100
Rochester Hills, MI 48307-3151

Mailing address

1349 South Rochester Road
Suite 100
Rochester Hills, MI 48307-3151
Phone (248) 759-5460

Other identifiers 5

IdentifierTypeStateIssuer
16320OtherMIMCARE NUMBER
7163493OtherMIAETNA PIN
0806319991OtherMIBCBSM AND BCN
137894OtherMICARE CHOICES
4552497MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000946 MI Practitioner - Family Practice 4981508652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ram Surendran MD PCGroup PAC ID 6507863479, 6 clinicians

Practice addresses (Care Compare)

1349 S Rochester Rd
Rochester Hills, MI 48307-3151
Phone (248) 759-5460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ram Surendran M.D. PC Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Rochester Primary Care Current Accepting new patients
Metro Health Care Center P.C. Family Medicine Past Accepting new patients

Locations

707 Rochester Rd
Leonard, MI 48367
Phone (586) 752-9510

1349 S Rochester Rd
Ste 100
Rochester Hills, MI 48307
Phone (248) 759-5460

Interoperability endpoints

  • Direct secure messaging: care.manager.1@9152.direct.athenahealth.com
  • Direct secure messaging: ramkrishna.surendran.1@9152.direct.athenahealth.com
  • Direct secure messaging: rsurendran1154920@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/9152/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rsurendran1751219@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1679507669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 SOUTH ROCHESTER ROAD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073151",
            "telephone_number": "248-759-5460",
            "fax_number": "248-923-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 SOUTH ROCHESTER ROAD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073151",
            "telephone_number": "248-759-5460",
            "fax_number": "248-923-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURENDRAN",
        "first_name": "RAMKRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301075798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE NUMBER",
            "identifier": "16320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7163493",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM AND BCN",
            "identifier": "0806319991",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "137894",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4552497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.