Individual provider Active NPI

Suresh Potluri, M.D.

  • Urology Physician
  • Kalamazoo, MI
National Provider Identifier
1871757708
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301093703 Issued in MI
Practice address
1701 Gull Rd
Kalamazoo, MI 49048-1609
Phone
(269) 633-2510
Fax
(269) 633-2511
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301093703 MI
Hospitalist Physician 208M00000X 01086616A IN
Urology Physician 208800000X 01086616A IN
Urology Physician 208800000X 4301093703 MI Primary

Addresses

Primary practice location

1701 Gull Rd
Kalamazoo, MI 49048-1609

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2713

Other practice location 1

8865 W 400 N Ste 105
Michigan City, IN 46360-9223
Phone (219) 861-8740

Other identifiers 2

IdentifierTypeStateIssuer
1871757708MedicaidMI
340C910480OtherMIBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spotluri604234@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090708000457 MI Practitioner - Urology 0244382034 Reassigns benefits to 3 organizations
I20211006003313 IN Practitioner - UrologyPractitioner - Hospitalist 0244382034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

815 Saint Joseph Dr
Saint Joseph, MI 49085-2529
Phone (269) 983-3455

8865 W 400 N
Suite 105
Michigan City, IN 46360-9223
Phone (219) 877-2060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01086616AINMDUrology Physician
4301093703MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Aug 19, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 20, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 20, 2022 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Urology CurrentSince Mar 18, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Aug 19, 2024 Accepting new patients
Bronson Methodist Hospital Hospitalist CurrentSince Dec 1, 2015 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Porter Physician Services LLC Urology CurrentSince Jun 1, 2024 Accepting new patients
Healthcare Midwest, PC Past Accepting new patients

Locations

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

707 Cedar St
Ste 405
South Bend, IN 46617

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1535 Gull Rd
Ste 150
Kalamazoo, MI 49048
Phone (269) 349-9745

42 N Saint Joseph Ave
Ste 200
Niles, MI 49120
Phone (269) 684-5447

291 W Centre Ave
Portage, MI 49024
Phone (269) 488-8430

3200 W Centre Ave
Ste 204
Portage, MI 49024
Phone (269) 324-0799

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

815 Saint Joseph Dr
Saint Joseph, MI 49085
Phone (269) 982-4272

Interoperability endpoints

  • Direct secure messaging: spotluri604234@direct.franciscanalliance.org
  • Direct secure messaging: spotluri10719@direct.bronsonhg.org
  • Direct secure messaging: spotluri1271436@epic00.corewelldirect.org
  • Direct secure messaging: spotluri3205900@direct.trinity-health.org

Organizations & group practices 10

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 4

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1871757708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481609",
            "telephone_number": "269-633-2510",
            "fax_number": "269-633-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8865 W 400 N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609223",
            "country_code": "US",
            "telephone_number": "219-861-8740",
            "fax_number": "219-877-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTLURI",
        "first_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301093703",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01086616A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01086616A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301093703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871757708",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "340C910480",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spotluri604234@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 S Creasy Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.