Individual provider Active NPI

P Suresh Nuchikat, MD

  • Nephrology Physician
  • Canton, OH
National Provider Identifier
1851382857
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3535026 Issued in OH
Practice address
2600 Tuscarawas St W #160
Canton, OH 44708-4696
Phone
(330) 454-9126
Fax
(330) 454-9470
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 3535026 OH Primary

Addresses

Primary practice location

2600 Tuscarawas St W #160
Canton, OH 44708-4696

Mailing address

2600 Tuscarawas St W #160
Canton, OH 44708-4696
Phone (330) 454-9126

Other identifiers 1

IdentifierTypeStateIssuer
0250320MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3535026OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultant'S, Inc Nephrology PastSince Jan 10, 2000 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1851382857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W #160",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084696",
            "telephone_number": "330-454-9126",
            "fax_number": "330-454-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W #160",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084696",
            "telephone_number": "330-454-9126",
            "fax_number": "330-454-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCHIKAT",
        "first_name": "P SURESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "3535026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.