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

Q: 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.

Q: What is Premi Suresh's specialty?

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

Q: 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.