Individual provider Active NPI

Rajesh Sam Suri, MD

  • Cardiovascular Disease Physician
  • Fremont, CA
National Provider Identifier
1790700987
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A50486 Issued in CA
Practice address
3155 Kearney St Ste 100
Fremont, CA 94538-2268
Phone
(510) 931-4310
Fax
(510) 894-0615
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A50486 CA Primary

Addresses

Primary practice location

3155 Kearney St Ste 100
Fremont, CA 94538-2268

Mailing address

43575 Mission Blvd # 709
Fremont, CA 94539-5831
Phone (510) 931-4310

Other practice location 1

27171 Calaroga Ave Ste 1-3
Hayward, CA 94545-4344
Phone (510) 931-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000836 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 7012952815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Coast Medicine and Cardiology IncGroup PAC ID 5597035030, 6 clinicians

Practice addresses (Care Compare)

27171 Calaroga Ave
Suite 2
Hayward, CA 94545-4344
Phone (510) 931-4310

3155 Kearney St
Fremont, CA 94538-2268
Phone (510) 931-4310

Hospital & facility affiliations

  • Norcal Home Health Services Home health agency, Pleasanton, CA, CCN 758136
  • Kairos Home Care LLC Home health agency, Fremont, CA, CCN 059758
  • Professional Home Care Associates Home health agency, Fremont, CA, CCN 557290
  • Golden Pacific Home Health, Inc Home health agency, Alameda, CA, CCN 059441
  • A Caring Life Home Health, Inc. Home health agency, Tracy, CA, CCN 559629
  • Washington Hospital Hospital, Fremont, CA, CCN 050195
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002
  • Highland Hospital Hospital, Oakland, CA, CCN 050320

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Varicose vein removal179
Leg revascularization (restoring blood flow)235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50486CAMDCardiovascular Disease Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Current Accepting new patients
West Coast Veins and Vascular Inc Cardiovascular Disease CurrentSince Jul 7, 2021 Accepting new patients
West Coast Medicine and Cardiology Inc Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Washington Township Hospital District CurrentSince Jan 1, 2000 Accepting new patients

Locations

3155 Kearney St
Ste 120
Fremont, CA 94538
Phone (209) 637-6060

3155 Kearney St
Ste 210
Fremont, CA 94538
Phone (510) 790-2202

3155 Kearney St
Ste 100
Fremont, CA 94538
Phone (669) 235-4188

2675 Stevenson Blvd
Fl 2
Fremont, CA 94538
Phone (510) 791-5200

39350 Civic Center Dr
Ste 260
Fremont, CA 94538
Phone (408) 358-3888

1900 Mowry Ave
Ste 309
Fremont, CA 94538
Phone (510) 790-9300

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

27171 Calaroga Ave
Ste 13
Hayward, CA 94545

27171 Calaroga Ave
Ste 1
Hayward, CA 94545
Phone (669) 235-4188

27171 Calaroga Ave
Ste 2
Hayward, CA 94545

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBIBD
  • Direct secure messaging: rajesh.suri@wcmcinc.eclinicaldirectplus.com

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 10

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1790700987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43575 MISSION BLVD # 709",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395831",
            "telephone_number": "510-931-4310",
            "fax_number": "510-894-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 KEARNEY ST STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382268",
            "telephone_number": "510-931-4310",
            "fax_number": "510-894-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27171 Calaroga Ave Ste 1-3",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454344",
            "country_code": "US",
            "telephone_number": "510-931-4310",
            "fax_number": "510-894-0615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURI",
        "first_name": "RAJESH",
        "middle_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A50486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.