SUMAN ANNAMBHOTLA (MD) – Vascular Surgery Physician, NPI 1760712889

SUMAN ANNAMBHOTLA (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. M8500 (TX). The NPI Number for SUMAN ANNAMBHOTLA (MD) is 1760712889

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
SUMAN ANNAMBHOTLA (MD)
NPI
1760712889
Phone
(678) 207-4000
Address
631 Professional Dr Ste 240
Enumeration Date
12 January 2010
Last Update Date
13 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7702241000
Graduation Year
2005 (21 years ago)
PAC ID
8123261955
Group Practice PAC ID
8628253424
Professional Enrollment ID
I20130827000453
Address ID
GA301158015CA450XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

218 VASCULAR SURGERY in GA

Provider Addresses for SUMAN ANNAMBHOTLA (MD)

  • 631 Professional Dr Ste 240

    Lawrenceville, GA 300463397

    Phone: (678) 207-4000

    Fax: (770) 534-2555

    Type: Location

  • 1270 Friendship Rd

    Braselton, GA 305175630

    Phone: (678) 207-4070

    Fax: (678) 207-4071

    Type: Location

  • 500 Medical Center Blvd Ste 310

    Lawrenceville, GA 300463332

    Phone: (678) 207-4000

    Fax: (770) 534-2555

    Type: Location

  • Longstreet Cancer Center, 725, Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305013834

    Phone: (678) 207-4000

    Fax: (770) 531-2435

    Type: Location

  • PO BOX 658

    GAINESVILLE, GA 305030658

    Phone: (770) 718-1122

    Fax: (770) 533-4786

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 146 Open Payments records for all available years, with a total value of $25,444.

Total Amount is formed as General ($25,444) + Research ($0) + Ownership ($0) = $25,444.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($20,869).

Total Amount

$25,444

General + Research + Ownership

Payments

146

Total payment records

General Amount

$25,444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-08-27

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
I20130827000453IVascular SurgeryGATBD

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
76937Ultrasonic guidance for blood vessel access5041$0
99213Established patient office or other outpatient visit, 20-29 minutes5045$0
93880Ultrasound of both sides of head and neck blood flow4539$0
93925Ultrasound of leg arteries or artery grafts4337$0
93970Ultrasound study of arm or leg veins with compression and maneuvers4137$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Provider's Procedures

SUMAN ANNAMBHOTLA (MD) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYGA93922Ultrasound study of arteries of both arms and legs3736
VASCULAR SURGERYGA93926Ultrasound study of arteries and arterial grafts of one leg or limited6861
VASCULAR SURGERYGA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers137119

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: 8628253424View full group profile

Reviews

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Frequently asked questions

Where can patients find SUMAN ANNAMBHOTLA (MD)'s NPI?
You can confirm SUMAN ANNAMBHOTLA (MD) with NPI 1760712889; it appears in the national provider directory.
Is SUMAN ANNAMBHOTLA (MD) active in the national directory?
SUMAN ANNAMBHOTLA (MD)'s public NPI profile is in an active state.
What field does SUMAN ANNAMBHOTLA (MD) work in?
You can think of SUMAN ANNAMBHOTLA (MD) as practicing within Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for SUMAN ANNAMBHOTLA (MD)?
We surface Lawrenceville, Georgia for SUMAN ANNAMBHOTLA (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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