Ramya Kannan Suresh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856166 Issued in MA

Practice address

129 Lincoln St
Worcester, MA 01605-2402

Phone

(508) 754-5891

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rukmani Kannan Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1699011080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 AVALON DR",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203452",
            "telephone_number": "978-944-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052402",
            "telephone_number": "508-754-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURESH",
        "first_name": "RAMYA",
        "middle_name": "KANNAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUKMANI",
            "last_name": "KANNAN",
            "prefix": "DR.",
            "credential": "B.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Padmaja Surapaneni, M.D.
• Pavankumar Suraparaju Varaprasadvarma, M.D
• Kathryn Surdovel, O.D.
• Nina Suresh
• Poornima Suresh, MD
• Stanley P Surette
• Surgical Eye Experts, LLC
• Diana Suris, D.O.
• Sarah Alexandra Surprenant
• Diane Marie Surrette, LCSW

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.