MS. SHRUTHI SURYAPRAKASH M.D.
NPI 1295393221
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Ms. Shruthi Suryaprakash M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHRUTHI SURYAPRAKASH M.D. (NPI 1295393221) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Shruthi Suryaprakash M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shruthi Suryaprakash reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38105
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: St Jude Childrens Research Hospital Inc
- 367 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
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 Shruthi Suryaprakash's NPI number?
The NPI number for Shruthi Suryaprakash is 1295393221. It was assigned to this individual provider in the NPPES registry on June 4, 2019.
Where is Shruthi Suryaprakash located?
Shruthi Suryaprakash practices at 3901 Beaubien Blvd, Detroit, MI 48201. The listed phone number is (313) 765-1892.
What is Shruthi Suryaprakash's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shruthi Suryaprakash enrolled in Medicare?
Yes. Shruthi Suryaprakash is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shruthi Suryaprakash's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shruthi Suryaprakash reassigns Medicare benefits to St Jude Children's Research Hospital, Inc. (Memphis, TN). The 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 Shruthi Suryaprakash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shruthi Suryaprakash was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Shruthi Suryaprakash, M.D. · NPI 1295393221
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 4, 2019.
## Identity
- **NPI:** 1295393221 (Entity type: Individual)
- **Enumerated:** June 4, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3901 BEAUBIEN BLVD, Detroit, MI 48201
- **Phone:** (313) 765-1892
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Jude Children's Research Hospital, Inc. (NPI 1306335088, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295393221) · Data from the CMS NPPES public registry.