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SURESH SAXENA MD
NPI 1245222504
Pediatrics in Frankfort, KY

Active since August 22, 2005PECOS Enrolled
4 PHYSICIANS PARK, FRANKFORT, KY 40601(502) 223-8400(502) 875-3073 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Suresh Saxena Md NPPES

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

SURESH SAXENA MD (NPI 1245222504) is an individual pediatrics provider in Frankfort, Kentucky, licensed in Kentucky (16692) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245222504
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSURESH SAXENACredential: MD
Location Address4 PHYSICIANS PARKFrankfort, KY 40601-4181
Mailing AddressPo Box 950202Louisville, KY 40295-0202 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 223-8400
Fax(502) 875-3073
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateMay 3, 2013
✔ NPI 1245222504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 16692
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4 PHYSICIANS PARK, Frankfort, KY 40601
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Other Identifiers 5

Medicare PIN0693111KY
Medicare PINK042880KY
Medicare UPINC65535
Medicaid64166929KY
Medicaid201080520IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suresh Saxena Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Suresh Saxena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
38 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490
Norton Children's Medical Group, LLC
38 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40601 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 17

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

VERNON MITCHELL MAY MD
Pediatrics
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (502) 223-8400
RAMESH GHANTA MD
Psychiatry & Neurology (Psychiatry)
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (270) 744-9600
PEDIATRIC ASSOCIATES OF FRANKFORT
Pediatrics
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (502) 223-8400
GINA MICHELE UNDERWOOD L.C.S.W.
Social Worker (Clinical)
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (502) 875-1685
CHERYL LYNN CURD APRN
Nurse Practitioner (Family)
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (502) 223-8400
TAUNYA M JASPER M.D.
Pediatrics
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (502) 223-8400
SUMIT HAYER MD
Pediatrics
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (502) 223-8400
PEDIATRIC ASSOCIATES OF FRANKFORT PLLC
Nurse Practitioner (Pediatrics)
4 PHYSICIANS PARK
FRANKFORT, KY 40601
Franklin County (502) 223-8400

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 Saxena's NPI number?

The NPI number for Suresh Saxena is 1245222504. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Suresh Saxena located?

Suresh Saxena practices at 4 Physicians Park, Frankfort, KY 40601. The listed phone number is (502) 223-8400.

What is Suresh Saxena's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suresh Saxena enrolled in Medicare?

Yes. Suresh Saxena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suresh Saxena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suresh Saxena reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Saxena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suresh Saxena accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Suresh Saxena 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 Suresh Saxena was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.