SUSHITHA SURENDRAN MD
NPI 1912265760
Pediatrics - Pediatric Cardiology in Renton, WA

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment
4011 TALBOT RD S STE 500, RENTON, WA 98055(425) 690-3482(425) 690-9082 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 25, 2026, Dec 24, 2025, Oct 9, 2024 and 4 more (7 updates tracked since 2017).

About Sushitha Surendran Md NPPES

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

SUSHITHA SURENDRAN MD (NPI 1912265760) is an individual pediatric cardiology provider in Renton, Washington, licensed in Washington (MD61232884) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1912265760
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameSUSHITHA SURENDRANCredential: MD
Location Address4011 TALBOT RD S STE 500Renton, WA 98055-5782
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395 · Fax (509) 865-0757
Fax(425) 690-9082
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 30, 2012
Last NPPES UpdateMarch 25, 20267 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1912265760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in WA · MD61232884✔ Licensed in TX · U5312✔ Licensed in MS · 24976
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License U5312 (TX)
4011 TALBOT RD S STE 500, Renton, WA 98055

Secondary Practice Locations 2

Location 11901 S Cedar StTacoma, WA 98405-2308 · Phone (253) 272-1812 · Fax (253) 262-1455
Location 23801 Kern WayYakima, WA 98902-6340 · Phone (509) 574-3238

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sushitha Surendran 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 ID3971875881
PECOS Enrollment IDI20231010002296
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Sushitha Surendran reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group
Primary Care
3939 S OTHELLO ST STE 101
Seattle, WA 98118
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
Multi-Specialty
3901 HOYT AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
5109 SUMMITVIEW AVE
Yakima, WA 98908
  • Reassigned Medicare billing, Washington enrollment
  • 252 clinicians in this Medicare group
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 12 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Physician Assistant
4011 TALBOT RD S STE 500
RENTON, WA 98055
Nurse Practitioner (Family)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Cardiovascular Disease)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Gastroenterology)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Gastroenterology)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Nurse Practitioner (Adult Health)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Gastroenterology)
4011 TALBOT RD S STE 500
RENTON, WA 98055

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 Sushitha Surendran's NPI number?

The NPI number for Sushitha Surendran is 1912265760. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Sushitha Surendran located?

Sushitha Surendran practices at 4011 Talbot Rd S Ste 500, Renton, WA 98055. The listed phone number is (425) 690-3482.

What is Sushitha Surendran's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Sushitha Surendran enrolled in Medicare?

Yes. Sushitha Surendran 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.

Which organizations bill Medicare for Sushitha Surendran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushitha Surendran reassigns Medicare benefits to 5 organizations: Valley Medical Group-Renton (Renton, WA), Seattle Children's Hospital (Seattle, WA), Optum Care Washington PLLC (Everett, WA), Yakima Valley Farm Workers Clinic (Yakima, WA) and Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). Each 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 Sushitha Surendran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushitha Surendran accept?

Health plans from Ambetter Health, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Sushitha Surendran 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.

When was this NPI record last updated?

The NPPES record for Sushitha Surendran was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.