SURESH KARNE (MD PHD) – Gastroenterology Physician, NPI 1366534307

SURESH KARNE (MD PHD) is a healthcare provider. based in Huntsville, Alabama. specializing in GASTROENTEROLOGY. They hold the professional credentials MD PHD. They hold a License No. 23431 (AL). The NPI Number for SURESH KARNE (MD PHD) is 1366534307

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SURESH KARNE (MD PHD)
NPI
1366534307
Phone
(256) 536-9031
Address
420 LOWELL DRIVE
Enumeration Date
28 September 2006
Last Update Date
7 February 2012

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2565369031
Graduation Year
1995 (31 years ago)
PAC ID
5496947707
Group Practice PAC ID
8527381524
Professional Enrollment ID
I20101005000916
Address ID
AL358013763HU420XXSEXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

239 GASTROENTEROLOGY in AL

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Provider Addresses for SURESH KARNE (MD PHD)

  • 420 Professional Tower, 420, Lowell Drive Southeast, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States

    SUITE 204

    HUNTSVILLE, AL 358013763

    Phone: (256) 536-9031

    Fax: (256) 539-4240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 254 Open Payments records for all available years, with a total value of $4,769.

Total Amount is formed as General ($4,769) + Research ($0) + Ownership ($0) = $4,769.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: ABBVIE INC. ($1,263).

Total Amount

$4,769

General + Research + Ownership

Payments

254

Total payment records

General Amount

$4,769

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101005000916IGastroenterologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes340261$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes250164$0
99212Established patient office or other outpatient visit, 10-19 minutes141128$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes130128$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12787$0
View full utilization report →

Insurance plans in this area (ZIP 35801)

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Provider's Procedures

SURESH KARNE (MD PHD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYAL45378Diagnostic examination of large bowel using an endoscope9794

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527381524View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YAL
Nurse PractitionerAL
Nurse PractitionerAL
Gastroenterology, Internal MedicineAL
G A S T R O E N T E R O L O G YMI
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is there an official ID for SURESH KARNE (MD PHD) in U.S. healthcare records?
The official identifier for SURESH KARNE (MD PHD) is NPI 1366534307.
Would SURESH KARNE (MD PHD) appear as active to a payer?
You can treat SURESH KARNE (MD PHD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SURESH KARNE (MD PHD)'s focus?
For SURESH KARNE (MD PHD), the primary taxonomy reads as Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Alabama is SURESH KARNE (MD PHD) registered?
Use Huntsville, Alabama as the headline location for SURESH KARNE (MD PHD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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