NPIMap

Individual provider Active NPI

Suresh Mathew, MD

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1922070614
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20022016480 Issued in MO
Practice address
11125 Dunn Rd
Suite 304
Saint Louis, MO 63136-6132
Phone
(314) 355-1166
Fax
(314) 355-9179
NPI assigned
Feb 6, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 20022016480 MO Primary
Nephrology Physician 207RN0300X 2002016480 MO

Addresses

Primary practice location

11125 Dunn Rd
Suite 304
Saint Louis, MO 63136-6132

Mailing address

11125 Dunn Rd Ste 304
Saint Louis, MO 63136-6132
Phone (314) 355-1166

Other practice location 1

12837 Flushing Meadows Dr Ste 100B
Saint Louis, MO 63131-1824
Phone (314) 432-1111

Other practice location 2

3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322
Phone (314) 432-1111

Other practice location 3

1400 LeMay Ferry Rd
Saint Louis, MO 63125-2408
Phone (314) 685-8721

Other identifiers 2

IdentifierTypeStateIssuer
2002016480MedicaidMO
205931108MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040506000710 MO Practitioner - Nephrology 6002805090 Reassigns benefits to 1 organization
I20040624000757 IL Practitioner - NephrologyPractitioner - Internal Medicine 6002805090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11155 Dunn Rd
Suite 212E
Saint Louis, MO 63136-6166
Phone (314) 395-1092

309 Homer M Adams Pkwy
Alton, IL 62002-5929
Phone (314) 435-8021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20022016480MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh Mathew MD LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Edward J Filippone MD PC Single Specialty PastSince Jul 1, 2016 Accepting new patients
Tenet Healthsystem Di, Inc. Single Specialty Past Accepting new patients
Inpatient Consultants of Missouri Inc Single Specialty Past Accepting new patients
Nephrology Associates of North Central Florida P a Single Specialty PastSince Jan 4, 2010 Accepting new patients
Emcare Physician Providers, Inc. Single Specialty Past Accepting new patients

Locations

309 Homer M Adams Pkwy
Alton, IL 62002
Phone (314) 435-8021

11155 Dunn Rd
Ste 212E
Saint Louis, MO 63136
Phone (314) 355-6700

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

Interoperability endpoints

  • Direct secure messaging: kidneydiseaseandhypertensionconsultantsofstlouis.sureshmathew@152824.advancedmd-direct.com

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1922070614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD STE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-1166",
            "fax_number": "314-355-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-1166",
            "fax_number": "314-355-9179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12837 Flushing Meadows Dr Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631311824",
            "country_code": "US",
            "telephone_number": "314-432-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3009 N Ballas Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312322",
            "country_code": "US",
            "telephone_number": "314-432-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 LeMay Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631252408",
            "country_code": "US",
            "telephone_number": "314-685-8721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SURESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "20022016480",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2002016480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002016480",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205931108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.