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

Vimala Meghana Ponna Suri, DO

Individual provider Family Medicine Physician · NPI 1740867175

Vimala Meghana Ponna Suri, DO is a Family Practice in Fremont, California. Qualified in 2021, 5 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3200 Kearney St
Fremont, CA 94538-2299
Phone: (510) 490-1222
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 275 Hospital Pkwy, San Jose, CA 95119-1106 — (408) 972-2000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A20922 (CA)

Record details

NPI number1740867175
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fremont