Individual ProviderAmbika SureshkumarInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2900 Boca Raton, Suite 201, Boca Raton, FL 33431(561) 241-0025(844) 630-0700PECOS EnrollmentBased on the most recent information from CMS, provider Ambika Sureshkumar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609816396Provider TypeIndividualFull NameSureshkumar, AmbikaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/8/2006Last Updated11/29/2021Contact InformationPractice LocationPractice Address2900 Boca Raton, Suite 201, Boca Raton, FL 33431Phone(561) 241-0025Fax(561) 241-3883Mailing LocationMailing Address6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051Phone(844) 630-0700Fax(305) 500-2155Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD098972LPennsylvaniaProvider IdentifiersIDDescriptionIssuerID1013636300001DescriptionMedicaidIssuerUnlistedPennsylvaniaID1665558DescriptionOtherIssuerPCHOICEPennsylvaniaID801665558DescriptionOtherIssuerHIGHMARKPennsylvania