V Susarla MDSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

V SUSARLA MDSC

Practice address

860 Summit St
Suite 123
Elgin, IL 60120-5145

Phone

(847) 741-0026

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Viswanatham Susarla, MDNPI 1922014315

Title

Physician

Phone

(847) 741-0026

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Viswanatham Susarla, M.D.

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1922014315
  Medicare reassignment Care Compare group Authorized official
• Savitha Susarla, D.O.

  • Family Medicine Physician
  • Elgin, IL
  • NPI 1518976323
  Medicare reassignment Care Compare group
• Rachel Ann Luettke, PA-C

  • Physician Assistant
  • Elgin, IL
  • NPI 1467926204
  NPD (past)
• Kelley Meisner

  • Physician Assistant
  • Algonquin, IL
  • NPI 1184295032
  NPD (past)
• Jason Sarkey, P.A.

  • Physician Assistant
  • Elgin, IL
  • NPI 1306389911
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1952583783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SUMMIT ST",
            "address_2": "SUITE 123",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205145",
            "telephone_number": "847-741-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SUMMIT ST",
            "address_2": "SUITE 123",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205145",
            "telephone_number": "847-741-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V SUSARLA MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SUSARLA",
        "authorized_official_first_name": "VISWANATHAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-741-0026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE4313",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urology, LTD.
• Sabrije Useinovski
• Diana Uselding, NP
• Gina Uy, DMD
• Hanz Demonteverde Uy
• Elizabeth Vaccaro, APN
• Ilma Mahamadali Vahora, MD
• Aliyah Grace Valdez
• Alfonso Valdivia, PA-C
• Marlyn Valena, M.D.

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.