Sushitha Surendran is a Pediatric Cardiology Physician practicing in Renton, Washington. The National Provider Identifier (NPI) is #1912265760, which was assigned on April 30, 2012, and the registration record was last updated on March 25, 2026. The practitioner's main practice location is at 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782; the contact telephone number is 4256903482, and the fax number is 4256909082. The primary taxonomy of Sushitha Surendran is Pediatric Cardiology Physician (2080P0202X), with specialization in Pediatric Cardiology. Sushitha Surendran is licensed to practice in the state of Texas (#U5312), Mississippi (#24976).
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.
| NPI | 1912265760 |
| Entity Type | Individual |
| Provider Name | SUSHITHA SURENDRAN |
| Gender | Female |
| Credential | MD |
| Practice Address |
4011 Talbot Rd S Ste 500 Renton WA 98055-5782 |
| Practice Telephone | 4256903482 |
| Practice Fax Number | 4256909082 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Mailing Telephone | 5098652395 |
| Mailing Fax Number | 5098650757 |
| Certification Date | 2026-03-25 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2026-03-25 |
| Is Sole Proprietor | N |
| PAC ID |
3971875881 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | SUSHITHA SURENDRAN |
| Primary Specialty | PEDIATRIC MEDICINE |
| Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Address |
51 N Dunlap Suite 235 Memphis TN 38105 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | U5312 | TX | ||
| N | 2080P0202X | Pediatrics | Pediatric Cardiology | 24976 | MS |
| Address | Telephone | Fax |
|---|---|---|
| 1901 S Cedar St, Tacoma, WA 984052308 | 2532721812 | 2532621455 |
| 201 Lyons Ave, Newark, NJ 071122027 | 9739267040 | |
| 333 N Santa Rosa, San Antonio, TX 782073108 | 2107048829 | |
| 3801 Kern Way, Yakima, WA 989026340 | 5095743238 | |
| 942 Commonwealth Blvd, Tupelo, MS 388049762 | 8668705570 | 9012874646 |
| Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| Grouping | Allopathic & Osteopathic Physicians |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| Classification | Pediatrics |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pm Kids Calvert | 1430 Solomons Island Rd Unit 1, Huntingtown, MD 20639-8711 | Pediatric Cardiology Physician | 2026-04-16 |
| Melanie Del Rosario Lopez | Philippine Heart Center, East Avenue, Diliman, Quezon City, National Capital Region 000850, PH | Pediatric Cardiology Physician | 2023-05-18 |
| Inova Health Care Services | 1475 Taney Ave Ste 103, Frederick, MD 21702-5126 | Pediatric Cardiology Physician | 2026-04-07 |
| Pediatric Sub-Specialists of Nevada, LLC | 3131 La Canada St Ste 230, Las Vegas, NV 89169-2551 | Pediatric Cardiology Physician | 2026-04-29 |
| Ramin Badiyan, Md, A Professional Corporation | 11620 Wilshire Blvd Ste 600, Los Angeles, CA 90025-1776 | Pediatric Cardiology Physician | 2026-05-13 |
| Growing Hearts Pediatric Cardiology Inc | 8508 Loch Raven Blvd Ste B, Towson, MD 21286-2354 | Pediatric Cardiology Physician | 2026-03-04 |
| Inova Health Care Services | 14955 Shady Grove Rd Ste 150, Rockville, MD 20850-8725 | Pediatric Cardiology Physician | 2026-04-06 |
| Wasatch Pediatric Cardiology Associates | 680 E Main St Ste 200, Lehi, UT 84043-2251 | Pediatric Cardiology Physician | 2026-03-12 |
| Inova Health Care Services | 11217 Lockwood Dr, Silver Spring, MD 20901-4550 | Pediatric Cardiology Physician | 2026-04-06 |
| Kelliann Banaian | 300 Longwood Ave, Boston, MA 02115-5724 | Pediatric Cardiology Physician | 2026-05-28 |
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| Street Address |
4011 TALBOT RD S STE 500 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5782 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gurpreet Singh Johal | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Cardiovascular Disease Physician | 2011-04-04 |
| Brandon James Teng | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Student in an Organized Health Care Education/Training Program | 2013-06-25 |
| Mirela Elena Goetzke | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Family Nurse Practitioner | 2012-10-22 |
| Pankaj Rajvanshi | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Internal Medicine Physician | 2005-10-19 |
| Courtney Lois Johnson · Courtney Lois Simcoe | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Physician Assistant | 2018-06-28 |
| Lumi Caroline Shimizu Seto | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Registered Nurse | 2020-03-19 |
| Ting-Wei Yang | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Cardiovascular Disease Physician | 2006-01-24 |
| Hamilton S Gillespie | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Cardiovascular Disease Physician | 2006-08-30 |
| Joseph Rootjes Roberts | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Gastroenterology Physician | 2012-03-22 |
| Lara D Whorley | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | Adult Health Nurse Practitioner | 2013-10-16 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hyon Chong Kim | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5782 | Gastroenterology Physician | 2008-08-26 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Michelle Marie Wright | 321 Burnett Ave., 3rd Floor, Renton, WA 98055 | Massage Therapist | 2007-08-13 |
| Proliance Surgery Center At Valley, LLC | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | Ambulatory Surgical Clinic/Center | 2020-06-01 |
| Wendy Kincaide Ferreri | 9806 S Carr Rd, Renton, WA 98055 | Professional Counselor | 2007-05-08 |
| Martin R Greget | 401 South 43rd St, 200, Renton, WA 98055 | Otolaryngology Physician | 2006-12-01 |
| Alondra Ortiz | 10635 Se 174th St, Renton, WA 98055 | Speech-Language Pathologist | 2024-09-10 |
| Talbot Rehabilitation Center, LLC | 4430 Talbot Road South, Renton, WA 98055 | Skilled Nursing Facility | 2017-11-10 |
| Southlake Clinic Inc Ps | 3915 Talbot Road South, Suite 300, Renton, WA 98055 | Clinical Medical Laboratory | 2007-01-10 |
| Madhuri Gordhan Patel | 3501 Mill Place South, Renton, WA 98055 | Registered Nurse | 2014-03-18 |
| Erin Cheatum | 19201 108th Ave Se Ste 101, Renton, WA 98055 | Naturopath | 2017-02-07 |
| Duy Ai Quang Hoang | 9431 S 196th Pl, Renton, WA 98055 | Pharmacist | 2010-11-11 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |