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DR. NISHA K SURENDERANATH M.D.
NPI 1003992686
Pediatrics - Pediatric Cardiology in Fredericksburg, VA

Active since October 27, 2006PECOS Enrolled
605 EMANCIPATION HWY, FREDERICKSBURG, VA 22401(540) 310-0117(540) 310-4736 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2022, Feb 14, 2020, Jan 9, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Nisha K Surenderanath M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NISHA K SURENDERANATH M.D. (NPI 1003992686) is an individual pediatric cardiology provider in Fredericksburg, Virginia, licensed in Virginia (0101272856) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Woodbridge.

NPPES Registry Identity

NPI1003992686
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. NISHA K SURENDERANATHCredential: M.D.
Location Address605 EMANCIPATION HWYFredericksburg, VA 22401-8403
Mailing Address605 Emancipation Hwy Ste 101Fredericksburg, VA 22401-8403 · (423) 463-4713
Phone(540) 310-0117
Fax(540) 310-4736
Sole ProprietorYes
Enumeration DateOctober 27, 2006
Last NPPES UpdateApril 25, 20224 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1003992686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in VA · 0101272856✔ Licensed in TN · 42283
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

605 EMANCIPATION HWY, Fredericksburg, VA 22401
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Secondary Practice Location 1

Location 112604 Lake Ridge DrWoodbridge, VA 22192-2335 · Phone (540) 310-0117 · Fax (540) 310-4736

Other Identifiers 1

Medicaid3000900TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nisha K Surenderanath M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisha Surenderanath's NPI number?

The NPI number for Nisha Surenderanath is 1003992686. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Nisha Surenderanath located?

Nisha Surenderanath practices at 605 Emancipation Hwy, Fredericksburg, VA 22401. The listed phone number is (540) 310-0117.

What is Nisha Surenderanath's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Nisha Surenderanath enrolled in Medicare?

Yes. Nisha Surenderanath is registered in the Medicare PECOS enrollment system.

What insurance does Nisha Surenderanath accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nisha Surenderanath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nisha Surenderanath was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.