Provider Type Icon

DR. SURESH POTLURI M.D. NPI 1871757708


NPI Information

NPI: 1871757708
Provider Name: DR. SURESH POTLURI, M.D.
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
815 SAINT JOSEPH DR
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 983-3455
Get Directions

DR. Suresh Potluri, M.D. is an urology in Saint Joseph, MI with 21 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Suresh Potluri, M.D. NPI is 1871757708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2003

The provider's business location address is:

815 SAINT JOSEPH DR
SAINT JOSEPH, MI
ZIP 49085-529
Phone: (269) 983-3455

The NPI 1871757708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • Insertion of stent in urinary duct (ureter) using an endoscope (HCPCS:52332)
  • Biopsy of prostate gland (HCPCS:55700)

The enumeration date for this NPI number is 7/10/2008 and was last updated on 1/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist4301093703MICHIGANNo
2208800000XUrology01086616AINDIANANo
3208M00000XHospitalist01086616AINDIANANo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
5208800000XUrology4301093703MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1340C910480OTHERMICHIGANBLUE CROSS BLUE SHIELD
21871757708MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.