URATH SURESH MD
NPI 1629061874
Internal Medicine - Nephrology in Knoxville, TN

Q: What is Urath Suresh's NPI number?

The NPI number for Urath Suresh is 1629061874. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Urath Suresh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Urath Suresh was last updated on March 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment

86.19/100

CMS Quality Rating

1932 ALCOA HWY, STE C-460, KNOXVILLE, TN 37920(865) 546-9246(865) 523-6466 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Urath Suresh Md NPPES

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

URATH SURESH MD (NPI 1629061874) is an individual nephrology provider in Knoxville, Tennessee, licensed in Tennessee (MD35782) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1629061874

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameURATH SURESHCredential: MD

Location Address1932 ALCOA HWY, STE C-460Knoxville, TN 37920-1527

Mailing Address1932 Alcoa Hwy, C-460Knoxville, TN 37920-1527 · (865) 546-9246 · Fax (865) 523-6466

Phone(865) 546-9246

Fax(865) 523-6466

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateAugust 23, 2005

Last NPPES UpdateMarch 7, 2019

✔ NPI 1629061874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TN · MD35782

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1932 ALCOA HWY, Knoxville, TN 37920

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Other Identifiers 3

Medicaid3723987TN

Other390008052TN · Railroad Medicare

Other4029310TN · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Urath Suresh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355515776

PECOS Enrollment IDI20111122000231

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

432 services124 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

369 services287 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

347 services91 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

212 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

144 services101 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

144 services114 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

117 services17 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

111 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

95 services52 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

88 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

46 services31 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

46 services28 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

33 services32 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440011

Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County

Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440030

Location908 W 4th North StMorristown, TN 37814 · Hamblen County

Emergency services Birthing friendly

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440056

Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

87.03

Promoting Interoperability

Improvement Activities

Cost

49.04

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

65%31 patients4/55-star benchmark: 87%

Controlling High Blood Pressure

75%768 patients4/55-star benchmark: 98%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

99%142 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%2,498 patients4/55-star benchmark: 100%

e-Prescribing

100%480 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

20%2,320 patients2/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

96%463 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 779 patients

Patients totalRate: 0% · 779 patients

0%779 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier15 claims820 services$1.73 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers11 claims360 services$0.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers18 claims2,700 services$0.01 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers28 claims28 services$16.93 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

5 suppliers25 claims30 services$11.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SUSAN S HOUCHINS NP

Nurse Practitioner (Obstetrics & Gynecology)

1932 ALCOA HWY, 150
KNOXVILLE, TN 37920

Knox County (865) 546-1642

HANNAH M. NEMEC MD

Surgery

1932 ALCOA HWY
KNOXVILLE, TN 37920

Knox County (865) 251-4658

REGINA MORRISON PHILLIPS N.P.

Nurse Practitioner

1932 ALCOA HWY, SUITE 580
KNOXVILLE, TN 37920

Knox County (865) 305-6333

MORGAN ANDERSON PA-C

Physician Assistant (Surgical)

1932 ALCOA HWY, SUITE 360
KNOXVILLE, TN 37920

Knox County (865) 524-1869

ROCIO A HUET M.D.

Internal Medicine

1932 ALCOA HWY, STE 470
KNOXVILLE, TN 37920

Knox County (865) 971-3529

UNIVERSITY HEALTH SYSTEM, INC

General Practice

1932 ALCOA HWY, BLDG C SUITE 550
KNOXVILLE, TN 37920

Knox County (865) 546-6554

WILLIAM CASON P.A.

Physician Assistant (Surgical)

1932 ALCOA HWY, STE 255
KNOXVILLE, TN 37920

Knox County (865) 524-1869

NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC

Internal Medicine (Nephrology)

1932 ALCOA HWY, STE C460
KNOXVILLE, TN 37920

Knox County (865) 546-9246

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 Urath Suresh's NPI number?

The NPI number for Urath Suresh is 1629061874. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Urath Suresh located?

Urath Suresh practices at 1932 Alcoa Hwy Ste C-460, Knoxville, TN 37920. The listed phone number is (865) 546-9246.

What is Urath Suresh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Urath Suresh enrolled in Medicare?

Yes. Urath Suresh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Urath Suresh accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Urath Suresh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Urath Suresh affiliated with any hospitals?

According to CMS data, Urath Suresh is affiliated with Cumberland Medical Center, Blount Memorial Hospital, University Health System, Inc, Morristown Hamblen Hospital Association and Tennova Healthcare-Jefferson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Urath Suresh was last updated on March 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.