Suresh Krishnamoorthy MD Sc
NPI 1912101163 · Geriatric Medicine (Internal Medicine) Physician · Centralia, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suresh Krishnamoorthy MD Sc is a Geriatric Medicine (Internal Medicine) Physician organization in Centralia, IL (NPI 1912101163).
Provider details
- NPI number
- 1912101163
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suresh Krishnamoorthy, Physician(618) 533-5500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Suresh Krishnamoorthy MD Sc's NPI number?
- Suresh Krishnamoorthy MD Sc's National Provider Identifier (NPI) is 1912101163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Suresh Krishnamoorthy MD Sc?
- Suresh Krishnamoorthy MD Sc is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Suresh Krishnamoorthy MD Sc located?
- Suresh Krishnamoorthy MD Sc's practice location on file with NPPES is 1054 M L King Dr, Centralia, IL 62801-3000.
- What is Suresh Krishnamoorthy MD Sc's phone number?
- The practice phone number listed in the NPPES registry for Suresh Krishnamoorthy MD Sc is (618) 533-5500.
- Does Suresh Krishnamoorthy MD Sc accept Medicare?
- Suresh Krishnamoorthy MD Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Suresh Krishnamoorthy MD Sc?
- The authorized official listed on Suresh Krishnamoorthy MD Sc's NPPES record is Suresh Krishnamoorthy, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Suresh Krishnamoorthy MD Sc's NPI active?
- Yes — Suresh Krishnamoorthy MD Sc's NPI (1912101163) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.