Active NPI
Krishna Sury, M.D.
- Nephrology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 299093
- Practice address
- 577 Prospect Ave Apt 1B
Brooklyn, NY 11215-6074 - Phone
- (718) 369-0318
- NPI assigned
- May 14, 2013
- Last updated
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 299093 | NY | Primary |
Addresses
Primary practice location
577 Prospect Ave Apt 1B
Brooklyn, NY 11215-6074
Mailing address
577 Prospect Ave Apt 1B
Brooklyn, NY 11215-6074
Phone (718) 369-0318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780020073 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- State University of New York Downstate Medical Center, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Grandview Ave
Suite 101
Waterbury, CT 06708-2518
Phone (203) 597-9733
Hospital & facility affiliations
- DaVita Greater Waterbury Dialysis
- DaVita Waterbury Dialysis Center
- Waterbury Hospital
- Saint Mary's Hospital
- Charlotte Hungerford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.56 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 85.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299093 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Single Specialty | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Kidney Care of Brooklyn and Queens, PLLC | Single Specialty | Current | Accepting new patients |
| Connecticut Kidney & Hypertension Specialists, LLC | Single Specialty | Current | Accepting new patients |
Locations
330 Cedar St
New Haven, CT 06510
Phone (203) 785-2385
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
140 Grandview Ave
Ste 101
Waterbury, CT 06708
Phone (203) 573-7284
1402 Atlantic Ave
Brooklyn, NY 11216
Phone (718) 771-6961
1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020
Interoperability endpoints
- krishna.sury@xdr.hhchealthdirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Waterbury, CT
- NPI 1962651968
Single Specialty
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1588002315
Single Specialty
-
dba Yale Medicine
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Greater Waterbury Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Waterbury, CT
- NPI 1689640419
Dialysis facility
-
dba Waterbury Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Waterbury, CT
- NPI 1104010768
Dialysis facility
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1780020073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 PROSPECT AVE APT 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156074",
"telephone_number": "718-369-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 PROSPECT AVE APT 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156074",
"telephone_number": "718-369-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURY",
"first_name": "KRISHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "299093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780020073",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Natay Surrency-Nwonuma
- Pamela Denise Surrency
- Jessica Renee Surrette, BHT RBT
- Sursum Corda Cardiology, P.C.
- Kala Sury, M.D.
- Suryanarayan Anand MD PC
- Sus Mental Health Programs, Inc. (SUS Wellness Works Mental Health Clinic)
- Sus Mental Health Programs, Inc.
- Susan K. Schulman LLC
- Elizabeth A Suschana, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.
- 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.