NPIMap

Individual provider Active NPI

Deepika Suri, M.D.

  • Internal Medicine Physician
  • Kennett Square, PA
National Provider Identifier
1760424220
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD471295 Issued in PA
Practice address
404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479
Phone
(610) 925-3835
Fax
(610) 925-3834
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD471295 PA Primary

Addresses

Primary practice location

404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479

Mailing address

404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479
Phone (610) 925-3835

Other identifiers 1

IdentifierTypeStateIssuer
4148142MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200817003065 PA Practitioner - Internal Medicine 6901897206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

404 McFarlan Rd
Suite 101
Kennett Square, PA 19348-2479
Phone (610) 925-3835

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD471295PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 5, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine CurrentSince Sep 5, 2022 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

404 McFarlan Rd
Ste 101
Kennett Square, PA 19348
Phone (610) 925-3835

402 McFarlan Rd
Kennett Square, PA 19348
Phone (610) 444-1070

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

1601 McDaniel Dr
Ste 50
West Chester, PA 19380
Phone (484) 905-8000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: deepikasuri@tkhc.allscriptsdirect.net

Organizations & group practices 4

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 8

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1760424220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD STE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-925-3835",
            "fax_number": "610-925-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD STE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-925-3835",
            "fax_number": "610-925-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "DEEPIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD471295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4148142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.