NPIMap

Individual provider Active NPI

Venkata Appala Satyalakshmi Suda, M.D.

  • Nephrology Physician
  • Cary, NC
National Provider Identifier
1982884078
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2009-00016 Issued in NC
Practice address
301 Keisler Drive
Unit a
Cary, NC 27518
Phone
(919) 803-3316
Fax
(919) 803-3354
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2009-00016 NC
Nephrology Physician 207RN0300X 2009-00016 NC Primary

Addresses

Primary practice location

301 Keisler Drive
Unit a
Cary, NC 27518

Mailing address

301 Keisler Drive
Unit a
Cary, NC 27518-7018
Phone (919) 803-3316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000551 NC Practitioner - NephrologyPractitioner - Internal Medicine 7113017146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Kidney Associates PLLCGroup PAC ID 8729245964, 2 clinicians

Practice addresses (Care Compare)

301 Keisler Dr
Suite a
Cary, NC 27518-7018
Phone (919) 803-3316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00016NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Triangle Kidney Associates PLLC Internal Medicine CurrentSince Jan 5, 2012 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Long Island College Hospital Past Accepting new patients
Wakemed Faculty Practice Plan Past Accepting new patients
Wake Specialty Physicians, LLC Internal Medicine Past Accepting new patients
Wakemed Faculty Practice Plan Internal Medicine Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

301 Keisler Dr
Ste A
Cary, NC 27518
Phone (919) 803-3316

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Ste 300
Raleigh, NC 27610
Phone (919) 350-8228

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

Organizations & group practices 8

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 4

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1982884078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KEISLER DRIVE",
            "address_2": "UNIT A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187018",
            "telephone_number": "919-803-3316",
            "fax_number": "919-803-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KEISLER DRIVE",
            "address_2": "UNIT A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-803-3316",
            "fax_number": "919-803-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDA",
        "first_name": "VENKATA",
        "middle_name": "APPALA SATYALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-00016",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2009-00016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.