SRINIVAS M SUSARLA MD, DMD
NPI 1659562775
Surgery - Plastic and Reconstructive Surgery in Seattle, WA

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, SEATTLE, WA 98105(206) 987-5223 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2017, Mar 22, 2017, Sep 2, 2016 (3 updates tracked since 2016).

About Srinivas M Susarla Md, Dmd NPPES

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

SRINIVAS M SUSARLA MD, DMD (NPI 1659562775) is an individual plastic and reconstructive surgery provider in Seattle, Washington, licensed in Washington (MD60628000) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of Harvard Medical School (2010).

NPPES Registry Identity

NPI1659562775
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameSRINIVAS M SUSARLACredential: MD, DMD
Location Address4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITALSeattle, WA 98105-3901
Mailing Address4800 Sand Point Way Ne, Seattle Children's HospitalSeattle, WA 98105-3901
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2010
Enumeration DateAugust 5, 2007
Last NPPES UpdateAugust 28, 20173 updates tracked since enumeration
NPI 1659562775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in WA · MD60628000
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DF60668028 (WA)
4800 SAND POINT WAY NE, Seattle, WA 98105

Accepted 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

Srinivas M Susarla Md, Dmd 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 ID3779747746
PECOS Enrollment IDI20160606001677
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.

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105

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 Srinivas Susarla's NPI number?

The NPI number for Srinivas Susarla is 1659562775. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Srinivas Susarla located?

Srinivas Susarla practices at 4800 Sand Point Way NE Seattle Children's Hospital, Seattle, WA 98105. The listed phone number is (206) 987-5223.

What is Srinivas Susarla's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Srinivas Susarla enrolled in Medicare?

Yes. Srinivas Susarla 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 Srinivas Susarla accept?

Health plans from Humana, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Srinivas Susarla 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 Srinivas Susarla affiliated with any hospitals?

According to CMS data, Srinivas Susarla is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Srinivas Susarla was last updated on August 28, 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.