Individual provider Active NPI

Suresh Sukhraj

  • Durable Medical Equipment & Medical Supplies
  • Port St Lucie, FL
National Provider Identifier
1801252820
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
6979 Hancock Dr
Port St Lucie, FL 34952-8207
Phone
(844) 201-9009
Fax
(844) 656-1444
NPI assigned
Jan 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6979 Hancock Dr
Port St Lucie, FL 34952-8207

Mailing address

6979 Hancock Dr
Port St Lucie, FL 34952-8207
Phone (844) 201-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VCS Medical Associates Corp Durable Medical Equipment & Medical Supplies Current Accepting new patients
SMR Medical Corp Current Accepting new patients

Locations

6979 Hancock Dr
Port St Lucie, FL 34952
Phone (844) 201-9009

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1801252820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 HANCOCK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528207",
            "telephone_number": "844-201-9009",
            "fax_number": "844-656-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6979 HANCOCK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528207",
            "telephone_number": "844-201-9009",
            "fax_number": "844-656-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHRAJ",
        "first_name": "SURESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.