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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1659562775

Srinivas M Susarla, MD, DMD is a Plastic and Reconstructive Surgery in Seattle, Washington. Graduated from Harvard Medical School in 2010, 16 years ago. Practices with The Association of University Physicians, a 3,459-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Trained at
Harvard Medical School
Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4800 Sand Point Way NE Seattle Children's Hospital
Seattle, WA 98105-3901
Phone: (206) 987-5223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD60628000 (WA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DF60668028 (WA)

Record details

NPI number1659562775
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DMD
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESAugust 28, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2010 (16 years in practice)
Group practice The Association Of University Physicians — 3459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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