SURYA RAJ SUDARSAN DPM
NPI 1467385583
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Surya Raj Sudarsan Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SURYA RAJ SUDARSAN DPM (NPI 1467385583) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (5951001629) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Surya Raj Sudarsan Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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
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 Surya Sudarsan's NPI number?
The NPI number for Surya Sudarsan is 1467385583. It was assigned to this individual provider in the NPPES registry on June 8, 2026.
Where is Surya Sudarsan located?
Surya Sudarsan practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (517) 898-1928.
What is Surya Sudarsan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Surya Sudarsan enrolled in Medicare?
Yes. Surya Sudarsan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Surya Sudarsan was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Surya Raj Sudarsan, DPM · NPI 1467385583
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 8, 2026.
## Identity
- **NPI:** 1467385583 (Entity type: Individual)
- **Enumerated:** June 8, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 5951001629 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4201 SAINT ANTOINE ST, Detroit, MI 48201-2153
- **Phone:** (517) 898-1928
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467385583) · Data from the CMS NPPES public registry.