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SURESH PANDANTHARA NURSE PRACTITIONER
NPI 1205383577
Nurse Practitioner - Family in Freehold, NJ

Active since September 05, 2016PECOS EnrolledAccepts Medicare Assignment
901 W MAIN ST STE 160, FREEHOLD, NJ 07728(732) 577-0600(732) 577-6332 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2021, Oct 12, 2016 (2 updates tracked since 2016).

About Suresh Pandanthara Nurse Practitioner NPPES

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

SURESH PANDANTHARA NURSE PRACTITIONER (NPI 1205383577) is an individual family provider in Freehold, New Jersey, licensed in New Jersey (26NJ00665300) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and maintains a secondary practice location in Morganville.

NPPES Registry Identity

NPI1205383577
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSURESH PANDANTHARACredential: NURSE PRACTITIONER
Location Address901 W MAIN ST STE 160Freehold, NJ 07728-2537
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495
Phone(732) 577-0600
Fax(732) 577-6332
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 5, 2016
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1205383577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00665300
901 W MAIN ST STE 160, Freehold, NJ 07728
Open in Google Maps ↗

Secondary Practice Location 1

Location 125 Kilmer Dr Ste 214Morganville, NJ 07751-1561 · Phone (732) 577-0600 · Fax (732) 577-6332

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suresh Pandanthara Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173803244
PECOS Enrollment IDI20161207000013
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Suresh Pandanthara reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holmdel Physician Associates
Same address
Hospitalist
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 94 clinicians in this Medicare group
NPI 1346647328 (732) 431-2000
Robert Wood Johnson Medical Associates
19 mi
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1902848625 (732) 235-7840
Hunterdon Specialty Care PC
34 mi
Plastic Surgery
63 CHURCH ST STE 102
Flemington, NJ 08822
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group
NPI 1609396449 (908) 237-4130
Practice Associates Medical Group
39 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
91 services89 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
53 services49 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
35 services35 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
34 services33 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS NAVJOT ARIYANA KAUR M.D.
Internal Medicine
901 W MAIN ST STE 160
FREEHOLD, NJ 07728
Monmouth County (732) 577-0600
MR. JOSEPH F MCNAMARA APN
Nurse Practitioner (Acute Care)
901 W MAIN ST STE 160
FREEHOLD, NJ 07728
Monmouth County (732) 577-0600
OLIVIA O. LOPUZZO APRN
Nurse Practitioner (Acute Care)
901 W MAIN ST STE 160
FREEHOLD, NJ 07728
Monmouth County (732) 577-0600
DR. MATTHEW FLAMENBAUM D.O.
Internal Medicine (Pulmonary Disease)
901 W MAIN ST STE 160
FREEHOLD, NJ 07728
Monmouth County (732) 577-0600

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 Suresh Pandanthara's NPI number?

The NPI number for Suresh Pandanthara is 1205383577. It was assigned to this individual provider in the NPPES registry on September 5, 2016.

Where is Suresh Pandanthara located?

Suresh Pandanthara practices at 901 W Main St Ste 160, Freehold, NJ 07728. The listed phone number is (732) 577-0600.

What is Suresh Pandanthara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Suresh Pandanthara enrolled in Medicare?

Yes. Suresh Pandanthara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Suresh Pandanthara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suresh Pandanthara reassigns Medicare benefits to 4 organizations: Holmdel Physician Associates (Freehold, NJ), Robert Wood Johnson Medical Associates (New Brunswick, NJ), Hunterdon Specialty Care PC (Flemington, NJ) and Practice Associates Medical Group (Morristown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suresh Pandanthara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suresh Pandanthara accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Suresh Pandanthara 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.

Is Suresh Pandanthara affiliated with any hospitals?

According to CMS data, Suresh Pandanthara is affiliated with Hunterdon Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Suresh Pandanthara was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.