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DR. PREMI THOMAS SURESH M.D.
NPI 1558408559
Pediatrics - Child Abuse Pediatrics in San Diego, CA

Active since January 30, 2007PECOS Enrolled
3665 KEARNY VILLA RD STE 501, SAN DIEGO, CA 92123(858) 966-5980 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Premi Thomas Suresh M.d. NPPES

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

DR. PREMI THOMAS SURESH M.D. (NPI 1558408559) is an individual child abuse pediatrics provider in San Diego, California, licensed in California (A89651) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558408559
Entity TypeIndividualFemale
Primary Taxonomy2080C0008X
Provider Legal NameDR. PREMI THOMAS SURESHCredential: M.D.
Location Address3665 KEARNY VILLA RD STE 501San Diego, CA 92123-1953
Mailing Address3020 Childrens Way # Mc5159San Diego, CA 92123-4223 · (858) 966-5980
Phone(858) 966-5980
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateNovember 7, 2017
✔ NPI 1558408559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
License✔ Licensed in CA · A89651
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Also ListedPediatricsTaxonomy 208000000X · License A89561 (CA)
3665 KEARNY VILLA RD STE 501, San Diego, CA 92123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Premi Thomas Suresh M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Premi Suresh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rady Children's Hospital San Diego
0.7 mi
Pediatrics
3020 CHILDRENS WAY
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 562 clinicians in this Medicare group
NPI 1669617197 (858) 966-5911

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 4

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

NICOLE MAE KETRING AYSON M.D.
Pediatrics
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5803
SHALON M. NIENOW MD
Pediatrics (Child Abuse Pediatrics)
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5980
RADY CHILDREN'S HOSPITAL SAN DIEGO
Special Hospital
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (406) 868-1792
SUZANNE P. STARLING M.D.
Pediatrics (Child Abuse Pediatrics)
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5803

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 Premi Suresh's NPI number?

The NPI number for Premi Suresh is 1558408559. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Premi Suresh located?

Premi Suresh practices at 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123. The listed phone number is (858) 966-5980.

What is Premi Suresh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Premi Suresh enrolled in Medicare?

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

Which organization bills Medicare for Premi Suresh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Premi Suresh reassigns Medicare benefits to Rady Children's Hospital San Diego (San Diego, CA). 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 Premi Suresh'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 Premi Suresh was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.