NPIMap

Individual provider Active NPI

Vikram Suri, MD, PHD

  • Nephrology Physician
  • Berkeley, CA
National Provider Identifier
1699094292
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A125533 Issued in CA
Practice address
2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone
(510) 841-4525
Fax
(510) 848-9970
NPI assigned
May 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A125533 CA
Internal Medicine Physician 207R00000X MT197042 PA
Student in an Organized Health Care Education/Training Program 390200000X MT197042 PA
Nephrology Physician 207RN0300X A125533 CA Primary

Addresses

Primary practice location

2905 Telegraph Ave
Berkeley, CA 94705-2017

Mailing address

2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150708000955 CA Practitioner - NephrologyPractitioner - Internal Medicine 4183936974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Boston University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Bay Nephrology Medical Group IncGroup PAC ID 1759377757, 31 clinicians
Dialysis Access Center a Medical CorporationGroup PAC ID 2062400443, 2 clinicians

Practice addresses (Care Compare)

2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-0411

3012 Summit St
Oakland, CA 94609-3480
Phone (510) 251-1002

Hospital & facility affiliations

  • SHC Vallejo Dialysis facility, Vallejo, CA, CCN 552754
  • DaVita Carquinez Dialysis Dialysis facility, Vallejo, CA, CCN 552572
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT197042PAMDInternal Medicine Physician
A125533CAMDNephrology Physician

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Dialysis Access Center a Medical Corporation Nephrology CurrentSince May 1, 2019 Accepting new patients
East Bay Nephrology Medical Group, Inc. Nephrology CurrentSince Aug 1, 2017 Accepting new patients
Dialysis Access Center a Medical Corporation CurrentSince May 1, 2019 Accepting new patients
East Bay Nephrology Medical Group, Inc. Nephrology Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
University of California San Francisco Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411

10690 San Pablo Ave
El Cerrito, CA 94530
Phone (510) 528-9590

3012 Summit St
Oakland, CA 94609
Phone (510) 251-1002

3043 Summit St
Oakland, CA 94609
Phone (510) 451-6840

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

3012 Summit St
#D
Oakland, CA 94609
Phone (510) 251-1002

2089 Vale Rd
Ste 32
San Pablo, CA 94806
Phone (510) 232-0892

127 Hospital Dr
Ste 204
Vallejo, CA 94589
Phone (707) 642-7510

125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vsuri14581@alamedahs.direct-ci.com
  • Direct secure messaging: vikram.suri.p72@direct.aac.nextgenshare.com
  • Direct secure messaging: vsuri359578@hisp.ehr.sutterhealth.org
  • Direct secure messaging: vikram.suri.1@6134.direct.athenahealth.com

Organizations & group practices 12

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 5

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699094292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052017",
            "telephone_number": "510-841-4525",
            "fax_number": "510-848-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052017",
            "telephone_number": "510-841-4525",
            "fax_number": "510-848-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "VIKRAM",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125533",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT197042",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT197042",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A125533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.