KHETISUDA SUVARNASUDDHI M.D. – NPI #1083059455
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

KHETISUDA SUVARNASUDDHI is a physician located in HAGERSTOWN, MD. NPPES has assigned the NPI number 1083059455 to KHETISUDA SUVARNASUDDHI on April 30, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 8 years ago on Aug 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KHETISUDA SUVARNASUDDHI below.

NPI Profile for
KHETISUDA SUVARNASUDDHI

NPI Number
1083059455
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KHETISUDA SUVARNASUDDHI
Credentials
M.D.
Primary location
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Phone: (301) 797-9600 Fax: (301) 797-3854
Mailing address
593 EDDY STREET, APC 942
PROVIDENCE, RI 02903-7752
Phone: (401) 444-5445 Fax: (401) 444-9822
Sole Proprietor
No
Updated
Identifiers

Identifiers for KHETISUDA SUVARNASUDDHI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD520968642
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 RI LP03684
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KHETISUDA SUVARNASUDDHI is affiliated with the following medical group(s):
  • HOSPITAL
    • FREDERICK HEALTH HOSPITAL
      400 WEST SEVENTH ST
      FREDERICK, MD 21701
    • MERITUS MEDICAL CENTER
      11116 MEDICAL CAMPUS ROAD
      HAGERSTOWN, MD 21742
    • WELLSPAN CHAMBERSBURG HOSPITAL
      112 NORTH SEVENTH STREET
      CHAMBERSBURG, PA 17201
    • WELLSPAN WAYNESBORO HOSPITAL
      501 EAST MAIN ST
      WAYNESBORO, PA 17268
  • DIALYSIS FACILITY
    • DAVITA EASTERN BOULEVARD DIALYSIS
      246 EASTERN BLVD N STE 105
      HAGERSTOWN, MD 21740
    • FMC - HAGERSTOWN
      12931 OAK HILL AVE
      HAGERSTOWN, MD 21742
    • FMC - ROBINWOOD
      11110 MEDICAL CAMPUS RD STE 149
      HAGERSTOWN, MD 21742
    • FRESENIUS KIDNEY CARE - WAYNESBORO
      27 Vista Avenue
      Waynesboro, PA 17268

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