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MS. SHRUTHI SURYAPRAKASH M.D.
NPI 1295393221
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 04, 2019PECOS Enrolled
3901 BEAUBIEN BLVD, DETROIT, MI 48201(313) 765-1892 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2020, Jun 4, 2019 (2 updates tracked since 2019).

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

NPI1295393221
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. SHRUTHI SURYAPRAKASHCredential: M.D.
Location Address3901 BEAUBIEN BLVDDetroit, MI 48201
Mailing Address3901 Beaubien BlvdDetroit, MI 48201 · (313) 765-1892
Phone(313) 765-1892
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 4, 2019
Last NPPES UpdateMarch 18, 20202 updates tracked since enumeration
NPPES CertifiedMarch 18, 2020
✔ NPI 1295393221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 BEAUBIEN BLVD, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shruthi Suryaprakash M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688164981
PECOS Enrollment IDI20251105002882
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.

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.

ELANA ACKERMAN M.D.
Pediatrics
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 745-5437
ELIANE ALHALABI MD
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (216) 778-9109
DIANA MILAGROS TORPOCO RIVERA M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 745-1892
ELISE DAHAN MBBS
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION-ROOM 3T72
DETROIT, MI 48201
Wayne County (313) 745-5533
DR. SNEHASHIS HAZRA MD
Pediatrics (Neonatal-Perinatal Medicine)
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (646) 617-8437
SATROOP GOGIA
Nurse Practitioner
3901 BEAUBIEN BLVD, 3RD FL CARLS BLDG.
DETROIT, MI 48201
Wayne County (313) 745-7179
DR. MITCHEL TODD WILLIAMS M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3901 BEAUBIEN BLVD, 3RD FLOOR NEUROLOGY DEPARTMENT
DETROIT, MI 48201
Wayne County (313) 745-5788
CHILDRENS HOSPITAL OF MICHIGAN
Pharmacy (Community/Retail Pharmacy)
3901 BEAUBIEN BLVD, ROOM 108
DETROIT, MI 48201
Wayne County (313) 745-1699

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.

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.