Active NPI
Piya Suryadevara, M.D.
- Geriatric Medicine (Family Medicine) Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- ME130093
- Practice address
- 6200 SW 73Rd St
South Miami, FL 33143 - Phone
- (786) 662-4000
- NPI assigned
- Jun 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | LA.207015 | LA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 61511 | MN | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | ME130093 | FL | Primary |
Addresses
Primary practice location
6200 SW 73Rd St
South Miami, FL 33143
Mailing address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone (786) 662-4000
Other practice location 1
1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Other names 1
- Piya Bhowmick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000
Hospital & facility affiliations
- Martin and Edith Stein Hospice, the
- Dove Hospice Services of New Jersey, LLC
- Grace Healthcare Services LLC
- Bridgeway Care and Rehab Center at Bridgewater
- Foothill Acres Rehabilitation & Nursing Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA.207015 | LA | MD | Geriatric Medicine (Family Medicine) Physician |
| 61511 | MN | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Emergency Medicine Associates, LLC | Current | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
Interoperability endpoints
- psuryadevara45760@epicdirect.rwjbh.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1336625425
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Manalapan, NJ
- NPI 1467099416
-
- Skilled Nursing Facility
- Hillsborough, NJ
- NPI 1932203304
Nursing home
-
- Community Based Hospice Care Agency
- Edison, NJ
- NPI 1538185830
-
- Community Based Hospice Care Agency
- Somerset, NJ
- NPI 1336125459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1033405329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SW 73RD ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434679",
"telephone_number": "786-662-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SW 73RD ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "33143",
"telephone_number": "786-662-4000"
}
],
"practiceLocations": [
{
"address_1": "1406 6th Ave N",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563031900",
"country_code": "US",
"telephone_number": "320-251-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURYADEVARA",
"first_name": "PIYA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "LA",
"license": "LA.207015",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MN",
"license": "61511",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME130093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PIYA",
"last_name": "BHOWMICK",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.