Individual provider Active NPI

Sarvani Surapaneni, M.D.

  • Gastroenterology Physician
  • Muncie, IN
National Provider Identifier
1093374258
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01099904A Issued in IN
Practice address
2525 W University Ave Ste 300
Muncie, IN 47303-3432
Phone
(765) 289-5408
Fax
(765) 289-5346
NPI assigned
Jun 11, 2019
Reactivated
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01099904A IN
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 01099904A IN Primary

Addresses

Primary practice location

2525 W University Ave Ste 300
Muncie, IN 47303-3432

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

50 E. Canfield
Detroit, MI 48201
Phone (313) 745-4525

Other identifiers 1

IdentifierTypeStateIssuer
300135782MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssurapaneni@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002029 MI Order and Referring Only - GastroenterologyPractitioner - GastroenterologyPractitioner - Internal Medicine 0941531917

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 N Shadeland Ave
Indianapolis, IN 46219-4959

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ssurapaneni2709558@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1093374258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE STE 300",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033432",
            "telephone_number": "765-289-5408",
            "fax_number": "765-289-5346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E. Canfield",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-745-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURAPANENI",
        "first_name": "SARVANI",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "deactivation_date": "2020-01-17",
        "reactivation_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01099904A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01099904A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300135782",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssurapaneni@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 W University Ave Ste 300",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.