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SHASHANK SURESH MD
NPI 1255780722
Internal Medicine - Rheumatology in Charlotte, NC

Active since June 06, 2016PECOS Enrolled
77.5/100
CMS Quality Rating
4525 CAMERON VALLEY PKWY STE 4100, CHARLOTTE, NC 28211(704) 468-8873 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jan 10, 2023, Apr 14, 2021 and 1 more (4 updates tracked since 2018).

About Shashank Suresh Md NPPES

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

SHASHANK SURESH MD (NPI 1255780722) is an individual rheumatology provider in Charlotte, North Carolina, licensed in North Carolina (2024-00809) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Wake Forest University School Of Medicine (2016).

NPPES Registry Identity

NPI1255780722
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSHASHANK SURESHCredential: MD
Location Address4525 CAMERON VALLEY PKWY STE 4100Charlotte, NC 28211-4378
Mailing Address4525 Cameron Valley Pkwy Ste 4100Charlotte, NC 28211-4378 · (704) 468-8873
Phone(704) 468-8873
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateJune 18, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1255780722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NC · 2024-00809
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4525 CAMERON VALLEY PKWY STE 4100, Charlotte, NC 28211
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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)

Shashank Suresh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486932654
PECOS Enrollment IDI20240801001236
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.

Areas of Expertise CMS Part B claims 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 2

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

SHELBY LANE POTTER RDN, CDCES
Dietitian, Registered
4525 CAMERON VALLEY PKWY STE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9462
MRS. BRIA SHAE MULHOLLAND RN
Registered Nurse (General Practice)
4525 CAMERON VALLEY PKWY STE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9462

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 Shashank Suresh's NPI number?

The NPI number for Shashank Suresh is 1255780722. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Shashank Suresh located?

Shashank Suresh practices at 4525 Cameron Valley Pkwy Ste 4100, Charlotte, NC 28211. The listed phone number is (704) 468-8873.

What is Shashank Suresh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shashank Suresh enrolled in Medicare?

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

What insurance does Shashank Suresh accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Shashank Suresh 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 Shashank Suresh affiliated with any hospitals?

According to CMS data, Shashank Suresh is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Shashank Suresh was last updated on June 18, 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.