Organization Active NPI

Patient's Clinic

  • Internal Medicine Physician
  • Morristown, TN
National Provider Identifier
1710382585
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PATIENT'S CLINIC
Practice address
709 McFarland St
Morristown, TN 37814-3977
Phone
(423) 851-4379
NPI assigned
Oct 23, 2014
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Suresh Kumar NekuriNPI 1619978657
Title
Ceo
Phone
(423) 353-1175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

709 McFarland St
Morristown, TN 37814-3977

Mailing address

709 McFarland St
Morristown, TN 37814-3977
Phone (423) 851-4379

Other identifiers 1

IdentifierTypeStateIssuer
1512614MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150210002168 TN Part B Supplier - Clinic/Group Practice 2062737257 Receives reassigned benefits from 4 practitioners
Practice locations: Morristown, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2112714Patient's Clinic, Inc - East709 McFarland St, Morristown, TN 37814Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory

Locations

709 McFarland St
Morristown, TN 37814
Phone (423) 353-1175

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1710382585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-851-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-851-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "NEKURI",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-353-1175"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.