Individual provider Active NPI

Suvarnamala Pushkaran, NP

  • Family Health Clinical Nurse Specialist
  • Middletown, OH
National Provider Identifier
1700308608
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
APRN.CNP.020834 Issued in OH
Practice address
1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone
(513) 454-1111
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X APRN.CNP.020834 OH Primary

Addresses

Primary practice location

1036 S Verity Pkwy
Middletown, OH 45044-5513

Mailing address

PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1111

Other identifiers 1

IdentifierTypeStateIssuer
0442233MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suvarnamala.pushkaran.p5@direct.phs.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001209 OH Practitioner - Nurse Practitioner 7810268620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone (513) 454-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Butler County Community Health Consortium Inc CurrentSince Jul 13, 2017 Accepting new patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Jul 13, 2017 Accepting new patients
Butler County Community Health Consortium Inc Current Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients

Locations

300 High St
Fl 4
Hamilton, OH 45011
Phone (513) 454-1460

903 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 737-6900

210 S 2nd St
Ste 2
Hamilton, OH 45011
Phone (513) 454-1460

1036 S Verity Pkwy
Middletown, OH 45044
Phone (513) 217-8900

Interoperability endpoints

  • Direct secure messaging: suvarnamala.pushkaran.p5@direct.myprimaryhealth.nextgenshare.com

Organizations & group practices 7

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 1

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1700308608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-454-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 S VERITY PKWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445513",
            "telephone_number": "513-454-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSHKARAN",
        "first_name": "SUVARNAMALA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "OH",
            "license": "APRN.CNP.020834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442233",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suvarnamala.pushkaran.p5@direct.phs.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1036 S Verity Pkwy",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450445513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.