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Active NPI 1659562775 Individual Practitioner Male Practitioner

Dr. Srinivas M Susarla , MD, DMD

Surgery - Plastic and Reconstructive Surgery • Seattle, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Srinivas Susarla, MD, DMD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Seattle, WA. With approximately 16 years of clinical experience since graduating from Harvard Medical School in 2010, Dr. Susarla delivers high-quality medical care to the local community at 4800 SAND POINT WAY NE.

Dr. Susarla maintains professional affiliations with The Association Of University Physicians, The Association Of Chrmc And University Physicians and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4800 Sand Point Way Ne
Seattle Children's Hospital

Seattle, WA 981053901

Telephone 2069875223
Associated Practice Facility / Clinic
🏢 Seattle Children's Hospital Facility NPI 1467536276

Medicare Profile & Education

Medical School

Harvard Medical School

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Seattle, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -2.7 yrs vs City Avg
City Avg: 18.7 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Seattle, WA (74 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Susarla (16 Years) 16 Yrs
Seattle Specialty Average (18.7 Years) 18.7 Yrs

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License WA MD60628000

A surgeon who specializes in plastic and reconstructive surgery.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License WA DF60668028

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Hospital & Practice Group Affiliations

The Association Of Chrmc And University Physicians

4800 Sand Point Way Ne, Seattle, WA 981053901

Phone: 2065262000

The Association Of University Physicians

325 9th Ave, Seattle, WA 981042420

Phone: 2067313000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Kathleen Hennings

Nurse Practitioner - Family

NPI 1174057988
Lindsay Augenthaler , CPNP

Nurse Practitioner - Pediatrics

NPI 1508244724

Certified Pediatric Nurse Practitioner

Dr. Bethany Dugan , DNP, ARNP, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1710473798

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, CPNPPC

Peter Loft , MSW

Social Worker

NPI 1891316840

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active August 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2017

Registered at 4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, SEATTLE, WA 981053901 (Tel: 2069875223)

📍
Updated Business Mailing Address August 28, 2017

Registered at 4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, SEATTLE, WA 981053901

👤
Provider Name / Credentials Updated August 28, 2017

Recorded as SRINIVAS SUSARLA, MD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2017

Dentist (License #DF60668028 in WA)

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2016

Registered at 4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, SEATTLE, WA 981053901 (Tel: 2069875223)

📍
Updated Business Mailing Address September 02, 2016

Registered at 4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, SEATTLE, WA 981053901

👤
Provider Name / Credentials Updated September 02, 2016

Recorded as SRINIVAS SUSARLA, MD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Oral & Maxillofacial Surgery (License #DF60668028 in WA)

🟢
Initial NPI Registration & Enumeration August 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659562775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: August 28, 2017
Sole Proprietor: No

Mailing Address

4800 Sand Point Way Ne, Seattle Children's Hospital

Seattle, WA 981053901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.