1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BANGALORE SURESH MD
NPI 1306892096
Pediatrics - Neonatal-Perinatal Medicine in Richmond, VA

Active since May 25, 2006PECOS Enrolled
412 LIBBIE AVE, SUITE 4, RICHMOND, VA 23226(804) 282-8082(804) 282-9082 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bangalore Suresh Md NPPES

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

BANGALORE SURESH MD (NPI 1306892096) is an individual neonatal-perinatal medicine provider in Richmond, Virginia, licensed in Virginia (0101058880) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306892096
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameBANGALORE SURESHCredential: MD
Location Address412 LIBBIE AVE, SUITE 4Richmond, VA 23226-2659
Mailing Address412 Libbie Ave, Suite 4Richmond, VA 23226-2659 · (804) 282-8082 · Fax (804) 282-9082
Phone(804) 282-8082
Fax(804) 282-9082
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1306892096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in VA · 0101058880
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
412 LIBBIE AVE, Richmond, VA 23226
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bangalore Suresh 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.

Other Providers at the Same Location NPPES 14

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

BEVERLY MALLON
Nurse Practitioner (Neonatal)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082
DR. BONITA J MAKDAD MD
Pediatrics (Neonatal-Perinatal Medicine)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082
BONNYLIN LINDQUIST
Nurse Practitioner (Neonatal)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082
MICHELLE JETER
Nurse Practitioner (Neonatal)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082
LYNN HARRINGTON JOHNSON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082
TERRI SNIDOW
Pediatrics (Neonatal-Perinatal Medicine)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082
CAROL FLINN
Nurse Practitioner (Neonatal)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082
KAREN WHARTON MD
Pediatrics (Neonatal-Perinatal Medicine)
412 LIBBIE AVE, SUITE 4
RICHMOND, VA 23226
Richmond City (804) 282-8082

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 Bangalore Suresh's NPI number?

The NPI number for Bangalore Suresh is 1306892096. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Bangalore Suresh located?

Bangalore Suresh practices at 412 Libbie Ave Suite 4, Richmond, VA 23226. The listed phone number is (804) 282-8082.

What is Bangalore Suresh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Bangalore Suresh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bangalore Suresh was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.