Active NPI
Surianarayanan Karthikeyan, MD
- Gastroenterology Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 220745-1
- Practice address
- 321 8TH Ave N
Fargo, ND 58102-4550 - Phone
- (701) 234-2525
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 21916 | ND | |
| Gastroenterology Physician | 207RG0100X | 220745-1 | NY | Primary |
Addresses
Primary practice location
321 8TH Ave N
Fargo, ND 58102-4550
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
80 West Avenue
Suite 203
Brockport, NY 14420-1229
Phone (585) 637-8580
Other practice location 2
50 LeRoy St
Potsdam, NY 13676-1799
Phone (315) 261-4493
Other practice location 3
105 County Route 45A Ste 400
Oswego, NY 13126-6673
Phone (315) 312-0089
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02151857 | Medicaid | NY | |
| 000526402002 | Other | NY | COMMUNITY BLUE |
| P040220745 | Other | NY | BLUE CROSS BLUE SHIELD |
| 0004633179 | Other | NY | AETNA |
| 106259BT | Other | NY | PREFERRED CARE |
| P010220745 | Other | NY | BLUE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 County Route 45a
Suite 100
Oswego, NY 13126-6665
Phone (315) 342-6771
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 60 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21916 | ND | MD | Gastroenterology Physician |
| 220745-1 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice, PC | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Physician Care PC | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Gastroenterology Group of Rochester, LLP | Gastroenterology | Past | Accepting new patients |
Locations
156 West Ave
Ste 202
Brockport, NY 14420
Phone (585) 637-8580
80 West Ave
Ste 203
Brockport, NY 14420
Phone (585) 637-8580
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
105 County Route 45A
Ste 400
Oswego, NY 13126
Phone (315) 312-0089
105 County Route 45A
Ste 100
Oswego, NY 13126
Phone (315) 342-6771
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
20 Hagen Dr
Ste 330
Rochester, NY 14625
Phone (585) 267-4040
1415 Portland Ave
Ste 570
Rochester, NY 14621
Phone (585) 467-0650
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oswego Health Medical Practice
- Internal Medicine Physician
- Oswego, NY
- NPI 1073868113
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- Family Medicine Physician
- Rochester, NY
- NPI 1174990303
-
dba Unity Physician Services
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Orthopaedic Surgery Physician
- Rochester, NY
- NPI 1568868388
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1366535940
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1881725836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 8TH AVE N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024550",
"telephone_number": "701-234-2525"
}
],
"practiceLocations": [
{
"address_1": "80 WEST AVENUE",
"address_2": "SUITE 203",
"address_purpose": "LOCATION",
"city": "Brockport",
"state": "NY",
"postal_code": "144201229",
"country_code": "US",
"telephone_number": "585-637-8580",
"fax_number": "585-637-0471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 LeRoy St",
"address_purpose": "LOCATION",
"city": "Potsdam",
"state": "NY",
"postal_code": "136761799",
"country_code": "US",
"telephone_number": "315-261-4493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 County Route 45A Ste 400",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "NY",
"postal_code": "131266673",
"country_code": "US",
"telephone_number": "315-312-0089",
"fax_number": "315-312-0110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARTHIKEYAN",
"first_name": "SURIANARAYANAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ND",
"license": "21916",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "220745-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02151857",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000526402002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P040220745",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004633179",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "106259BT",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010220745",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.