Individual provider Active NPI

Nawal Suriya, PA-C

  • Physician Assistant
  • Palm Springs, FL
National Provider Identifier
1053176446
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4685 S Congress Ave Ste 201
Palm Springs, FL 33461-4761
Phone
(561) 548-8600
Fax
(561) 548-8650
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4685 S Congress Ave Ste 201
Palm Springs, FL 33461-4761

Mailing address

15491 SW 18TH St
Miramar, FL 33027-4308
Phone (786) 631-8560

Other practice location 1

15491 SW 18th St
Miramar, FL 33027-4308
Phone (786) 631-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213002180 FL Practitioner - Physician Assistant 6901336411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

12953 Palms W Dr
201 Digestive Disease Center of the Pal
Loxahatchee, FL 33470-4992
Phone (561) 795-5130

12989 Southern Blvd
Suite 202
Loxahatchee, FL 33470-9291
Phone (561) 795-5130

4685 S Congress Ave
Suite 201
Lake Worth, FL 33461-4761
Phone (561) 548-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nawal.suriya@hca4.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1053176446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15491 SW 18TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274308",
            "telephone_number": "786-631-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 S CONGRESS AVE STE 201",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614761",
            "telephone_number": "561-548-8600",
            "fax_number": "561-548-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15491 SW 18th St",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330274308",
            "country_code": "US",
            "telephone_number": "786-631-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURIYA",
        "first_name": "NAWAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.