Individual provider Active NPI

Hemantha M Surath, M.D

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1821166554
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-056232 Issued in IL
Practice address
2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160
Phone
(773) 348-4010
Fax
(773) 525-4022
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 036-056232 IL Primary

Addresses

Primary practice location

2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160

Mailing address

2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160
Phone (773) 348-4010

Other identifiers 1

IdentifierTypeStateIssuer
036056232MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hsurath18659@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050426001217 IL Practitioner - Internal Medicine 7810936184 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Hospital & facility affiliations

  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-056232ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Internal Medicine CurrentSince Aug 9, 2011 Accepting new patients
Resurrection Services CurrentSince Aug 9, 2011 Accepting new patients
Presence Healthcare Services Current Accepting new patients

Locations

2800 N Sheridan Rd
Ste 303
Chicago, IL 60657
Phone (773) 281-7660

2800 N Sheridan Rd
Ste 107
Chicago, IL 60657
Phone (773) 348-4010

5600 W Addison St
Ste 204
Chicago, IL 60634
Phone (773) 685-6066

2800 N Sheridan Rd
#303
Chicago, IL 60657
Phone (773) 281-7660

2800 N Sheridan Rd
Ste 309
Chicago, IL 60657
Phone (773) 248-6913

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

62311 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: hsurath18659@ce-direct.presencehealth.org

Organizations & group practices 3

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 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1821166554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576160",
            "telephone_number": "773-348-4010",
            "fax_number": "773-525-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576160",
            "telephone_number": "773-348-4010",
            "fax_number": "773-525-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURATH",
        "first_name": "HEMANTHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-056232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056232",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsurath18659@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd Ste 309",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.