Active NPI
Kushak Suchdev, MD
- Neurology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 277246
- Practice address
- 3555 Olentangy River Rd Ste 2002
Columbus, OH 43214-3910 - Phone
- (614) 533-5500
- Fax
- (614) 533-0103
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 277246 | MA | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | 4301094559 | MI | |
| Neurocritical Care Physician | 2084A2900X | 35.149827 | OH | |
| Neurology Physician | 2084N0400X | 35.149827 | OH | |
| Neurology Physician | 2084N0400X | 4301094559 | MI |
Addresses
Primary practice location
3555 Olentangy River Rd Ste 2002
Columbus, OH 43214-3910
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Other practice location 1
4201 St Antoine Ste 8A & 8B
University Health Center
Detroit, MI 48201-2153
Phone (313) 745-4275
Other practice location 2
4201 St Antoine Ste 8A & 8B
University Health Center
Detroit, MI 48201-2153
Phone (313) 745-4275
Other practice location 3
725 Albany Street
Shapiro 7, Suite B
Boston, MA 02118
Phone (617) 638-8456
Other practice location 4
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksuchdev1024405@direct.ohiohealth.com | OhioHealth Physician Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-2934
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Hospital & facility affiliations
- Riverside Methodist Hospital
- Grant Medical Center
- Signature Healthcare Brockton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.149827 | OH | MD | Neurocritical Care Physician |
| 277246 | MA | MD | Neurology Physician |
| 4301094559 | MI | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Neurology | Current | Accepting new patients |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Signature Healthcare Medical Group Inc | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| Ohiohealth Corporation | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
4201 Saint Antoine St
Ste 8A
Detroit, MI 48201
Phone (313) 577-8114
4201 Saint Antoine St
Ste 8B
Detroit, MI 48201
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
3555 Olentangy River Rd
Ste 2002
Columbus, OH 43214
Phone (614) 788-2450
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Neurology
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- Social Worker
- Livonia, MI
- NPI 1154360402
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1689806846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 OLENTANGY RIVER RD STE 2002",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143910",
"telephone_number": "614-533-5500",
"fax_number": "614-533-0103"
}
],
"practiceLocations": [
{
"address_1": "4201 St Antoine Ste 8A & 8B",
"address_2": "University Health Center",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-4275",
"fax_number": "313-745-4468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 St Antoine Ste 8A & 8B",
"address_2": "University Health Center",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-4275",
"fax_number": "313-745-4468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Albany Street",
"address_2": "Shapiro 7, Suite B",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-638-8456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUCHDEV",
"first_name": "KUSHAK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "277246",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MI",
"license": "4301094559",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "OH",
"license": "35.149827",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.149827",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301094559",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksuchdev1024405@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group, Inc.",
"address_1": "3535 Olentangy River Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.