Suresh Mathew MD LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SURESH MATHEW MD LLC

Practice address

11133 Dunn Rd Ste 212E
Saint Louis, MO 63136-6163

Phone

(314) 395-1092

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Suresh Mathew, MDNPI 1922070614

Title

President

Phone

(314) 435-8021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Meadows Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1295139459

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresh Mathew, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1922070614

  IL, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1821746348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 WHITESTONE FARM DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172463",
            "telephone_number": "314-435-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD STE 212E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366163",
            "telephone_number": "314-395-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH MATHEW MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-435-8021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mosmi Natverlal Surati, MD
• Sure Healthcare Group, LLC
• Sure Home Healthcare LLC
• Sureguard LLC
• Priya Suresh Kanna, MD
• Aditya Krishna Suresh, MD
• Lynn C Suresh, CPNP-AC
• Rama Suresh, MD
• Vanessa Vogel Suresh, MS, CCC-SLP
• Connor Surgeon

• Nephrology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.