SUREKHA S VETSA MD
NPI 1619043874
Internal Medicine in San Jose, CA

Active since November 28, 2006
150 N JACKSON AVE STE 105C, SAN JOSE, CA 95116(650) 888-1917 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Surekha S Vetsa Md NPPES

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

SUREKHA S VETSA MD (NPI 1619043874) is a healthcare organization registered as an internal medicine in San Jose, California and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Sunnyvale and lists Surekha Santoshkumar Vetsa, Ceo Of Surekha S Vetsa Md A Medical, as its authorized official.

NPPES Registry Identity

NPI1619043874
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUREKHA S VETSA MD A MEDICAL CORPORATION
Location Address150 N JACKSON AVE STE 105CSan Jose, CA 95116-1908
Mailing Address1351 Selo DriveSunnyvale, CA 94087-4411 · (650) 888-7556 · Fax (408) 733-0777
Organization SubpartNo
Authorized OfficialSurekha Santoshkumar VetsaCeo Of Surekha S Vetsa Md A Medical · (650) 888-7556
Enumeration DateNovember 28, 2006
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1619043874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A90010
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A90010 (CA)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A90010 (CA)
150 N JACKSON AVE STE 105C, San Jose, CA 95116

Other Names 1

Doing Business AsSurekha S Vetsa Md

Secondary Practice Location 1

Location 11351 Selo DrSunnyvale, CA 94087-4411 · Phone (650) 888-7556

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surekha S Vetsa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Surekha S Vetsa MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1184650871
1351 SELO DR
Sunnyvale, CA 94087
(650) 888-1917
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Surekha S Vetsa MD A Medical Corporation's NPI number?

The NPI number for Surekha S Vetsa MD A Medical Corporation is 1619043874. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Surekha S Vetsa MD.

Where is Surekha S Vetsa MD A Medical Corporation located?

Surekha S Vetsa MD A Medical Corporation is located at 150 N Jackson Ave Ste 105C, San Jose, CA 95116. The listed phone number is (650) 888-1917.

What is Surekha S Vetsa MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Surekha S Vetsa MD A Medical Corporation enrolled in Medicare?

Yes. Surekha S Vetsa MD A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surekha S Vetsa MD A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Surekha S Vetsa MD A Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Surekha S Vetsa MD A Medical Corporation was last updated on September 24, 2018. 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.