Individual provider Active NPI

Surjya P Das, MD

  • Interventional Cardiology Physician
  • Fishersville, VA
National Provider Identifier
1063598696
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101244252 Issued in VA
Practice address
78 Medical Center Dr
Fishersville, VA 22939-2332
Phone
(540) 221-7080
Fax
(540) 221-7081
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME137310 FL
Interventional Cardiology Physician 207RI0011X 0101244252 VA Primary
Cardiovascular Disease Physician 207RC0000X 242164 NY

Addresses

Primary practice location

78 Medical Center Dr
Fishersville, VA 22939-2332

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 935-5162

Other practice location 1

709 N Justice St Ste A
Hendersonville, NC 28791-3455
Phone (828) 697-7377

Other practice location 2

3737 High St
Portsmouth, VA 23707-2405
Phone (757) 686-9400

Other practice location 3

1717 N E St Ste 331
Pensacola, FL 32501-6335
Phone (850) 484-6500

Other practice location 4

612 Kingsborough Sq
Chesapeake, VA 23320
Phone (757) 547-9294

Other identifiers 1

IdentifierTypeStateIssuer
02873398MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050422000282 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214975994 Reassigns benefits to 1 organization
I20080911000323 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7214975994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7080

Hospital & facility affiliations

  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242164NYMDCardiovascular Disease Physician
ME137310FLMDInterventional Cardiology Physician
0101244252VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Jul 20, 2020 Accepting new patients
Bayview Physician Services, PC Cardiovascular Disease CurrentSince Dec 1, 2017 Accepting new patients
Augusta Health Care, Inc. CurrentSince Jul 20, 2020 Accepting new patients
Augusta Medical Group CurrentSince Jul 20, 2020 Accepting new patients
Augusta Health Care, Inc CurrentSince Jul 20, 2020 Accepting new patients
Henderson County Hospital Corporation CurrentSince Feb 1, 2018 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 1, 2017 Accepting new patients
Henderson County Hospital Corporation CurrentSince Feb 1, 2018 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

709 N Justice St
Ste A
Hendersonville, NC 28791
Phone (828) 694-7630

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

35 Valley View Ter
Waynesville, NC 28786
Phone (828) 454-9816

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294

78 Medical Center Dr
Fl 3
Fishersville, VA 22939

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

3737 High St
Portsmouth, VA 23707
Phone (757) 686-9400

Interoperability endpoints

  • Direct secure messaging: surjya.das.1@14718.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 8

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 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1063598696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-935-5162",
            "fax_number": "540-932-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392332",
            "telephone_number": "540-221-7080",
            "fax_number": "540-221-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 N Justice St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287913455",
            "country_code": "US",
            "telephone_number": "828-697-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 High St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237072405",
            "country_code": "US",
            "telephone_number": "757-686-9400",
            "fax_number": "757-337-1049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 N E St Ste 331",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016335",
            "country_code": "US",
            "telephone_number": "850-484-6500",
            "fax_number": "850-857-1747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Kingsborough Sq",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "23320",
            "country_code": "US",
            "telephone_number": "757-547-9294",
            "fax_number": "757-213-9342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "SURJYA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME137310",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101244252",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "242164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02873398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.