Active NPI
Neha Agarwal Suri, M.D.
- Pediatrics Physician
- Rockville, MD
National Provider Identifier
1679992010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D83199
- Practice address
- 15204 Omega Dr Ste 100
Rockville, MD 20850 - Phone
- (301) 279-6750
- Fax
- (301) 208-8953
- NPI assigned
- Apr 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | D83199 | MD | Primary |
Addresses
Primary practice location
15204 Omega Dr Ste 100
Rockville, MD 20850
Mailing address
15204 Omega Dr Ste 100
Rockville, MD 20850-4812
Phone (013) 279-6750
Other practice location 1
111 Michigan Ave NW
W3.5, 600
Washington, DC 20010-2916
Phone (202) 476-3670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D83199 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Pediatrics, P.C. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- neha.suri@potpeds.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Primary Care Clinic/Center
- Woodbridge, VA
- NPI 1003051897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1679992010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15204 OMEGA DR STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504812",
"telephone_number": "013-279-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15204 OMEGA DR STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-279-6750",
"fax_number": "301-208-8953"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Ave NW",
"address_2": "W3.5, 600",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102916",
"country_code": "US",
"telephone_number": "202-476-3670",
"fax_number": "202-476-4741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURI",
"first_name": "NEHA",
"middle_name": "AGARWAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D83199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.