Individual provider Active NPI

Megha Suri, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Charleston, WV
National Provider Identifier
1891434775
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
800 Pennsylvania Ave., Charleston, WV 25302
Familycare/Children'S Medicine Center
Charleston, WV 25302
Phone
(304) 414-1880
Fax
(304) 414-1886
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

800 Pennsylvania Ave., Charleston, WV 25302
Familycare/Children'S Medicine Center
Charleston, WV 25302

Mailing address

800 Pennsylvania Ave., Charleston, WV 25302
Familycare/Children'S Medicine Center
Charleston, WV 25302
Phone (304) 414-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220913002047 WV Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8426433319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1238WVMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1891434775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PENNSYLVANIA AVE., CHARLESTON, WV 25302",
            "address_2": "FAMILYCARE/CHILDREN'S MEDICINE CENTER",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25302",
            "telephone_number": "304-414-1880",
            "fax_number": "304-414-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PENNSYLVANIA AVE., CHARLESTON, WV 25302",
            "address_2": "FAMILYCARE/CHILDREN'S MEDICINE CENTER",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25302",
            "telephone_number": "304-414-1880",
            "fax_number": "304-414-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "MEGHA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.