SURAJ SANJAY KANDOTH
NPI 1467252809
Student in an Organized Health Care Education/Training Program in Pikeville, KY

Active since March 14, 2025PECOS Enrolled
147 SYCAMORE ST, PIKEVILLE, KY 41501(606) 218-5250 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 31, 2026, Mar 25, 2026, Mar 14, 2025 (3 updates tracked since 2025).

About Suraj Sanjay Kandoth NPPES

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

SURAJ SANJAY KANDOTH (NPI 1467252809) is an individual student in an organized health care education/training program in Pikeville, Kentucky and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467252809
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSURAJ SANJAY KANDOTH
Location Address147 SYCAMORE STPikeville, KY 41501-9118
Mailing Address147 Sycamore StPikeville, KY 41501-9118 · (606) 218-5250
Sole ProprietorNo
Enumeration DateMarch 14, 2025
Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
NPI 1467252809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
147 SYCAMORE ST, Pikeville, KY 41501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Suraj Sanjay Kandoth 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 20

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

Optometrist
147 SYCAMORE ST, KENTUCKY COLLEGE OF OPTOMETRY
PIKEVILLE, KY 41501
Social Worker
147 SYCAMORE ST
PIKEVILLE, KY 41501
Social Worker (Clinical)
147 SYCAMORE ST
PIKEVILLE, KY 41501
Student in an Organized Health Care Education/Training Program
147 SYCAMORE ST
PIKEVILLE, KY 41501
Social Worker (Clinical)
147 SYCAMORE ST
PIKEVILLE, KY 41501
Optometrist
147 SYCAMORE ST
PIKEVILLE, KY 41501
Family Medicine
147 SYCAMORE ST
PIKEVILLE, KY 41501
Optometrist
147 SYCAMORE ST
PIKEVILLE, KY 41501

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 Suraj Kandoth's NPI number?

The NPI number for Suraj Kandoth is 1467252809. It was assigned to this individual provider in the NPPES registry on March 14, 2025.

Where is Suraj Kandoth located?

Suraj Kandoth practices at 147 Sycamore St, Pikeville, KY 41501. The listed phone number is (606) 218-5250.

What is Suraj Kandoth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Suraj Kandoth enrolled in Medicare?

Yes. Suraj Kandoth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suraj Kandoth was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.