Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suresh Krishnamoorthy MD SC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1912101163

Suresh Krishnamoorthy MD SC is a Geriatric Medicine (Internal Medicine) Physician in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1054 M L King Dr Ste 126
Centralia, IL 62801-3000
Phone: (618) 533-5500
Fax: (618) 533-5501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X (IL)

Record details

NPI number1912101163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suresh Krishnamoorthy — Physician · (618) 533-5500
NPI enumeratedJune 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1054 M L King Dr, Suite 126, Centralia, IL 62801-3000

Other providers in Centralia