SURESH PHILIP (MD) – Gastroenterology Physician, NPI 1205915147

SURESH PHILIP (MD) is a healthcare provider. based in Kennewick, Washington. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00042832 (WA). The NPI Number for SURESH PHILIP (MD) is 1205915147

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
SURESH PHILIP (MD)
NPI
1205915147
Phone
(509) 737-8766
Address
7525 W DESCHUSTES PL
Enumeration Date
2 November 2006
Last Update Date
25 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094605500
Graduation Year
1987 (39 years ago)
PAC ID
0446144356
Group Practice PAC ID
1759278633
Professional Enrollment ID
I20040211000921
Address ID
WA993367193KE8819XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

474 GASTROENTEROLOGY in WA

Provider Addresses for SURESH PHILIP (MD)

  • 7525 W DESCHUSTES PL

    SUITE 1A

    KENNEWICK, WA 99336

    Phone: (509) 737-8766

    Fax: (509) 737-8887

    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: 2004-02-11

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
I20040211000921IGastroenterologyWATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity155102$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito128117$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7272$0
45380Biopsy of large bowel using a flexible endoscope3838$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2727$0
View full utilization report →

Insurance plans in this area (ZIP 99336)

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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: 1759278633View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AR
G A S T R O E N T E R O L O G YWA
Gastroenterology, Internal MedicineWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

How is SURESH PHILIP (MD) identified in CMS data?
CMS-hosted NPPES data lists SURESH PHILIP (MD) with NPI 1205915147.
Is SURESH PHILIP (MD) listed as active for patients and plans?
The listing shows SURESH PHILIP (MD) as active in the NPI system.
What is SURESH PHILIP (MD)'s primary classification?
Gastroenterology Physician is the headline specialty for SURESH PHILIP (MD) here. Clinical services aligned with this taxonomy classification.
Where is SURESH PHILIP (MD) based?
SURESH PHILIP (MD) is tied to Kennewick, Washington in the data we show; additional addresses may exist on the full record.
Is the information about SURESH PHILIP (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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