Individual provider Active NPI

Sree Kiran Suryadevara, M.B.B.S.

  • Colon & Rectal Surgery Physician
  • Nashville, TN
National Provider Identifier
1952561474
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
50631 Issued in TN
Practice address
2100 Church St Ste 225
Nashville, TN 37203-8022
Phone
(615) 329-7933
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 50631 TN Primary
Surgery Physician 208600000X 50631 TN

Addresses

Primary practice location

2100 Church St Ste 225
Nashville, TN 37203-8022

Mailing address

3024 Business Park Cir Ste 703
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

2011 Church St
Ste. 703
Nashville, TN 37203-2000
Phone (615) 329-7933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20131203001585 TN Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6103018338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

820 N Thompson LN
Murfreesboro, TN 37129-4339

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy78
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Jan 1, 2015 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Jan 1, 2015 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

2004 Hayes St
Ste 320
Nashville, TN 37203
Phone (615) 329-7933

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

2100 Church St
Ste 225
Nashville, TN 37203
Phone (615) 329-7933

Interoperability endpoints

  • Direct secure messaging: sree.suryadevara@ahp.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1952561474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR STE 703",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CHURCH ST STE 225",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372038022",
            "telephone_number": "615-329-7933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Church St",
            "address_2": "Ste. 703",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032000",
            "country_code": "US",
            "telephone_number": "615-329-7933",
            "fax_number": "615-329-7957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURYADEVARA",
        "first_name": "SREE",
        "middle_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "50631",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "50631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.