1. Home
  2. Directory
  3. Illinois
  4. Centralia
  5. Internal Medicine
  6. NPI Profile

SURESH KRISHNAMOORTHY MD SC
NPI 1912101163
Internal Medicine - Geriatric Medicine in Centralia, IL

Active since June 12, 2007
1054 M L KING DR, SUITE 126, CENTRALIA, IL 62801(618) 533-5500(618) 533-5501 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Suresh Krishnamoorthy Md Sc NPPES

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

SURESH KRISHNAMOORTHY MD SC (NPI 1912101163) is a healthcare organization registered as a geriatric medicine in Centralia, Illinois and active in the NPI registry since June 2007. The organization lists Suresh Krishnamoorthy, Physician, as its authorized official.Information from the official NPPES registry record, last updated August 22, 2020.

NPPES Registry Identity

NPI1912101163
Entity TypeOrganization
Legal Business NameSURESH KRISHNAMOORTHY MD SC
Location Address1054 M L KING DR, SUITE 126Centralia, IL 62801-3000
Mailing Address1054 M L King Dr, Suite 126Centralia, IL 62801-3000 · (618) 533-5500 · Fax (618) 533-5501
Phone(618) 533-5500
Fax(618) 533-5501
Organization SubpartNo
Authorized OfficialSuresh KrishnamoorthyPhysician · (618) 533-5500
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912101163 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Internal Medicine · Geriatric Medicine

Taxonomy 207RG0300X · Allopathic & Osteopathic Physicians

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly.… Show more

1054 M L KING DR, Centralia, IL 62801
Open in Google Maps ↗

Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

Reviews for SURESH KRISHNAMOORTHY MD SC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

DR. STEPHEN T ANG MD
Internal Medicine (Gastroenterology)
1054 M L KING DR, SUITE 120
CENTRALIA, IL 62801
Marion County (618) 532-1688
DR. SURESH KRISHNAMOORTHY M.D.
Internal Medicine (Geriatric Medicine)
1054 M L KING DR, SUITE 126
CENTRALIA, IL 62801
Marion County (618) 533-5500

Frequently Asked Questions

What is SURESH KRISHNAMOORTHY MD SC's NPI number?

The NPI number assigned to this healthcare provider is 1912101163, enumerated as an "organization" on June 12, 2007.

Where is the provider located?

The provider is located at 1054 M L KING DR SUITE 126 CENTRALIA, IL 62801 and the phone number is (618) 533-5500.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.