NPIMap

Organization Active NPI

Ram Surendran M.D. PC

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1861419681
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAM SURENDRAN M.D. PC
Practice address
1349 S Rochester Rd
Suite 100
Rochester Hills, MI 48307-3151
Phone
(248) 759-5460
Fax
(248) 923-2446
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Ramkrishna Surendran, M.D.NPI 1679507669
Title
Owner
Phone
(248) 759-5460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1349 S Rochester Rd
Suite 100
Rochester Hills, MI 48307-3151

Mailing address

1349 South Rochester Road
Suite 100
Rochester Hills, MI 48307-3151
Phone (248) 759-5460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061107000391 MI Part B Supplier - Clinic/Group Practice 6507863479 Receives reassigned benefits from 9 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory
Tax ID family
Ram Surendran MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 Rochester Rd
Leonard, MI 48367
Phone (586) 752-9510

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9152/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1861419681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 SOUTH ROCHESTER ROAD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073151",
            "telephone_number": "248-759-5460",
            "fax_number": "248-923-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073151",
            "telephone_number": "248-759-5460",
            "fax_number": "248-923-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM SURENDRAN M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SURENDRAN",
        "authorized_official_first_name": "RAMKRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-759-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.