Individual provider Active NPI

Kawanjit Surapur, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Raleigh, NC
National Provider Identifier
1093120768
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2026-01546 Issued in NC
Practice address
3480 Wake Forest Rd Ste 414
Raleigh, NC 27609-7376
Phone
(919) 862-5520
Fax
(919) 862-5521
NPI assigned
Jun 21, 2014
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2026-01546 NC Primary
Pulmonary Disease Physician 207RP1001X 2026-01546 NC

Addresses

Primary practice location

3480 Wake Forest Rd Ste 414
Raleigh, NC 27609-7376

Mailing address

1501 N Campbell Ave
6TH Floor, Room 6336
Tucson, AZ 85724-5040
Phone (520) 626-2761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 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
I20210819002992 GA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1658697248 Reassigns benefits to 2 organizations
I20260619000058 NC Practitioner - Pulmonary Disease 1658697248

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88548GAMDCritical Care Medicine (Internal Medicine) Physician
R74538AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC Internal Medicine CurrentSince Sep 25, 2021 Accepting new patients
Piedmont Specialty Hospital Billing LLC Internal Medicine CurrentSince Jul 26, 2021 Accepting new patients
Duke Health Integrated Practice, Inc. PastSince Jul 1, 2026 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 3

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.

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": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1093120768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "6TH FLOOR, ROOM 6336",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245040",
            "telephone_number": "520-626-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WAKE FOREST RD STE 414",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097376",
            "telephone_number": "919-862-5520",
            "fax_number": "919-862-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAPUR",
        "first_name": "KAWANJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2026-01546",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2026-01546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.