Himanshu Suri

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

ME156490 Issued in FL

Practice address

2500 E Hallandale Beach Blvd Ste 211
Hallandale Beach, FL 33009-4835

Phone

(954) 457-0064

NPI assigned

Apr 12, 2016

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NV2 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

Specialty

Pain Management

Education

Florida International Univ, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Medical Group LLPGroup PAC ID 6901807536, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centennial Medical Group LLP

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1073619359
  Medicare reassignment Care Compare group NPD
• Synovation Medical Group, LLC

  • Interventional Pain Medicine Physician
  • South Miami, FL
  • NPI 1306942602
  Medicare reassignment NPD
• Centennial Medical Group LLP

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1013807361
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1073977328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "DEPT OF MEDICINE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-8168",
            "fax_number": "877-303-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 211",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094835",
            "telephone_number": "954-457-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "HIMANSHU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D90123",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD048474",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101269788",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME156490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Health Diagnostics LLC
• Sunny South Behavioral Health and Consulting LLC
• Sunshine Good Care, LLC
• Sunstone Mental Health (Encompassing You Counseling)
• Surgical Deviceexchange (Sierra Surgical)
• Cheri Gay Surloff, PHD.,PSYD
• Surve Behavioral LLC
• Surve LLC
• Surve Wellness, LLC
• SVM-Med,LLC

• Pain Medicine (Psychiatry & Neurology) Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.

Verify at the official NPI Registry.