Active NPI
B S Suresh, M.D.
- Neurology Physician
- Anaheim, CA
National Provider Identifier
1922164573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A45820
- Practice address
- 1751 W Romneya Dr
Suite #J
Anaheim, CA 92801-1815 - Phone
- (714) 776-3566
- Fax
- (714) 776-3303
- NPI assigned
- Dec 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A45820 | CA | Primary |
Addresses
Primary practice location
1751 W Romneya Dr
Suite #J
Anaheim, CA 92801-1815
Mailing address
1751 W Romneya Dr
Suite #J
Anaheim, CA 92801-1815
Phone (714) 776-3566
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101430 | Medicaid | CA | |
| A45820 | Other | MEDICARE | |
| 00A458200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45820 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates Medical Group | Neurology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- Anaheim, CA
- NPI 1871657189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1922164573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR",
"address_2": "SUITE #J",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-776-3566",
"fax_number": "714-776-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR",
"address_2": "SUITE #J",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-776-3566",
"fax_number": "714-776-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURESH",
"first_name": "B",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A45820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101430",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A45820",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A458200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.