KEERTHI NANDAN SURAKANTI M.D.
NPI 1104116110
Pediatrics in Brooklyn, NY
About Keerthi Nandan Surakanti M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEERTHI NANDAN SURAKANTI M.D. (NPI 1104116110) is an individual pediatrics provider in Brooklyn, New York, licensed in Oklahoma (30539) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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)
Keerthi Nandan Surakanti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
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 Keerthi Nandan Surakanti's NPI number?
The NPI number for Keerthi Nandan Surakanti is 1104116110. It was assigned to this individual provider in the NPPES registry on April 11, 2011.
Where is Keerthi Nandan Surakanti located?
Keerthi Nandan Surakanti practices at 4802 10th Ave Maimonides Medical Center, Department Of Pediatrics, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.
What is Keerthi Nandan Surakanti's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Keerthi Nandan Surakanti enrolled in Medicare?
Yes. Keerthi Nandan Surakanti is registered in the Medicare PECOS enrollment system.
What insurance does Keerthi Nandan Surakanti accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Keerthi Nandan Surakanti 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 Keerthi Nandan Surakanti was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keerthi Nandan Surakanti, M.D. · NPI 1104116110
Pediatrics physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1104116110 (Entity type: Individual)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 30539 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 4802 10TH AVE, MAIMONIDES MEDICAL CENTER, DEPARTMENT OF PEDIATRICS, Brooklyn, NY 11219-2916
- **Phone:** (718) 283-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104116110) · Data from the CMS NPPES public registry.