DR. SURESH VADADA (M.D.) – Nephrology Physician, NPI 1528065174

DR. SURESH VADADA (M.D.) is a healthcare provider. based in Mansfield, Ohio. specializing in Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. 35074411V (OH). The NPI Number for DR. SURESH VADADA (M.D.) is 1528065174

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURESH VADADA (M.D.)
NPI
1528065174
Phone
(419) 774-0478
Address
661 S TRIMBLE RD
Enumeration Date
28 June 2005
Last Update Date
1 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4197740478
Graduation Year
1975 (51 years ago)
PAC ID
4183614977
Group Practice PAC ID
4385634179
Professional Enrollment ID
I20100310000299
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SURESH VADADA (M.D.)

  • Kidney Associates Inc, 661, South Trimble Road, Mansfield, Richland County, Ohio, 44906, United States

    MANSFIELD, OH 449063437

    Phone: (419) 774-0478

    Fax: (419) 774-9887

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-10

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
I20100310000299INephrologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44906)

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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: 4385634179View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nephrology, Internal MedicineOH
N E P H R O L O G YOH
Nephrology, Internal MedicineOH
Nephrology, Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up DR. SURESH VADADA (M.D.) by NPI?
Use NPI 1528065174 when you need to reference DR. SURESH VADADA (M.D.) in forms, claims, or directories.
Is DR. SURESH VADADA (M.D.) active in the national directory?
DR. SURESH VADADA (M.D.)'s public NPI profile is in an active state.
Does DR. SURESH VADADA (M.D.) list a primary specialty?
If you are matching referrals, note Nephrology Physician for DR. SURESH VADADA (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. SURESH VADADA (M.D.) practice in Ohio?
You will see Mansfield, Ohio on file for DR. SURESH VADADA (M.D.) alongside any extra practice locations.
What if Mansfield, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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