Khetisuda Suvarnasuddhi, MD in Hagerstown, MD

Khetisuda Suvarnasuddhi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Hagerstown, Maryland. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Otto Roza Md Pa, Otto Roza Md Pa, Otto Roza Md Pa and her current practice location is 12931 Oak Hill Ave, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 797-9600.

Khetisuda Suvarnasuddhi is licensed to practice in Maryland (license number D0085666) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083059455.

Contact Information

	Khetisuda Suvarnasuddhi, MD
	12931 Oak Hill Ave, Hagerstown, MD 21742
	(301) 797-9600
	(301) 797-3854

Map and Direction

Physician's Profile

Full Name	Khetisuda Suvarnasuddhi
Gender	Female
Speciality	Nephrology
Experience	12 Years
Location	12931 Oak Hill Ave, Hagerstown, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Khetisuda Suvarnasuddhi graduated from medical school in 2012

NPI Data:

NPI Number: 1083059455
Provider Enumeration Date: 04/30/2013
Last Update Date: 08/10/2018

Medicare PECOS Information:

PECOS PAC ID: 7618270265
Enrollment ID: I20180828001976

Medical Identifiers

Medical identifiers for Khetisuda Suvarnasuddhi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083059455	NPI	-	NPPES
520968642	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	LP03684 (Rhode Island)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RN0300X	Internal Medicine - Nephrology	D0085666 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc - Hagerstown	Hagerstown, MD	Dialysis facility
Fresenius Medical Care Waynesboro	Waynesboro, PA	Dialysis facility
Eastern Boulevard Dialysis	Hagerstown, MD	Dialysis facility
Fmc - Robinwood	Hagerstown, MD	Dialysis facility
Meritus Medical Center	Hagerstown, MD	Hospital
Frederick Health Hospital	Frederick, MD	Hospital
Waynesboro Hospital	Waynesboro, PA	Hospital
Berkeley Medical Center	Martinsburg, WV	Hospital
Chambersburg Hospital	Chambersburg, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Otto Roza Md Pa	4880596675	10
Otto Roza Md Pa	4880596675	10
Otto Roza Md Pa	4880596675	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Khetisuda Suvarnasuddhi allows following entities to bill medicare on her behalf.

Entity Name	Otto Roza Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548256811 PECOS PAC ID: 4880596675 Enrollment ID: O20040122000740

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khetisuda Suvarnasuddhi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Khetisuda Suvarnasuddhi, MD 593 Eddy Street, Apc 942, Providence, RI 02903-7752 Ph: (401) 444-5445	Khetisuda Suvarnasuddhi, MD 12931 Oak Hill Ave, Hagerstown, MD 21742 Ph: (301) 797-9600

Reviews and Comments

Internal Medicine Doctors in Hagerstown, MD

Sadik Mohammed Ali, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 251 E Antietam St, Hagerstown, MD 21740 Phone: 301-790-8804
Dr. Alida Mercedes Espinoza, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1130 Opal Ct, Hagerstown, MD 21740 Phone: 301-797-8279 Fax: 301-797-8504
Dr. James E Cremins, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742 Phone: 240-382-3783 Fax: 240-382-3799
Jason Slack, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-790-8804
Fahad Lodhi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1733 Howell Rd, Hagerstown, MD 21740 Phone: 301-797-2525
Dr. Tarek Nabil El-sherif, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, # 223, Hagerstown, MD 21742 Phone: 301-560-4747 Fax: 301-776-1725

Khetisuda Suvarnasuddhi, MD - Medicare Nephrology in Hagerstown, MD