Active NPI
Suresh Potluri, M.D.
- Urology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301093703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871757708 | Medicaid | MI | |
| 340C910480 | Other | MI | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spotluri604234@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01086616A | IN | MD | Urology Physician |
| 4301093703 | MI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Urology | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Bronson Methodist Hospital | Hospitalist | Current | Accepting new patients |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Porter Physician Services LLC | Urology | Current | 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
- spotluri604234@direct.franciscanalliance.org
- spotluri10719@direct.bronsonhg.org
- spotluri1271436@epic00.corewelldirect.org
- 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.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
Urology
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
- Durable Medical Equipment & Medical Supplies
- Kalamazoo, MI
- NPI 1245532456
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.