Individual provider Active NPI

Surjeet Pohar, MD

  • Radiation Oncology Physician
  • Jamestown, NY
National Provider Identifier
1114094430
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
219430 Issued in NY
Practice address
117 Foote Ave
Jamestown, NY 14701-6947
Phone
(716) 338-9500
Fax
(716) 338-9550
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101240892 VA
Radiation Oncology Physician 2085R0001X 219430 NY Primary

Addresses

Primary practice location

117 Foote Ave
Jamestown, NY 14701-6947

Mailing address

3085 Harlem Rd
Ste 350
Cheektowaga, NY 14225-2591
Phone (716) 844-5600

Other identifiers 18

IdentifierTypeStateIssuer
2157601OtherVAUHC/MAMSI
248692OtherVAANTHEM 600 GRESHAM DR
308588OtherVAANTHEM LAKE WRIGHT DR
P01233062OtherINRAILROAD MEDICARE PIN
PAROtherVAFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
PAROtherVACORVEL/CORCARE
07269OtherNCBC/BS
10014992OtherVASENTARA
PAROtherVAAETNA
PAROtherVAMULTIPLAN
PAROtherVAVIRGINIA HEALTH NETWORK
5907269MedicaidNC
PAROtherVAUSA MANAGED CARE
PAROtherVACIGNA
PAROtherVATRICARE/CHAMPUS
PAROtherVAVIRGINIA PREMIER HEALTH
1114094430MedicaidVA
201148980MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 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
I20090917000422 NY Practitioner - Radiation Oncology 7012939507 Reassigns benefits to 2 organizations
I20181224000293 WI Practitioner - Radiation Oncology 7012939507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician PCGroup PAC ID 9133434269, 65 clinicians

Practice addresses (Care Compare)

117 Foote Ave
Suite 100
Jamestown, NY 14701-6947
Phone (716) 338-9200

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

Merit-based Incentive Payment System (MIPS)

Final score
75.58 of 100Reported as group
Quality
39.81
Promoting interoperability
88
Improvement activities
40
Cost
83.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219430NYMDRadiation Oncology Physician
0101240892VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Great Lakes Physician, PC Radiation Oncology CurrentSince Feb 1, 2019 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Dec 17, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 17, 2018 Accepting new patients
Indiana University Health, Inc Radiation Oncology CurrentSince Mar 1, 2013 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 17, 2018 Accepting new patients
Great Lakes Physician, PC Radiation Oncology CurrentSince Feb 1, 2019 Accepting new patients
University Hill Radiation Oncology Radiation Oncology Past Accepting new patients
Major Hospital Past Accepting new patients
Radiation Oncology Services PC Past Accepting new patients

Locations

2242 Reliable Pkwy
Chicago, IL 60686

1030 W Michigan St
Indianapolis, IN 46202
Phone (317) 944-0920

6845 Rama Dr
Indianapolis, IN 46219
Phone (317) 944-0920

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225
Phone (716) 844-5000

3085 Harlem Rd
Ste 350
Cheektowaga, NY 14225
Phone (716) 844-5000

117 Foote Ave
Jamestown, NY 14701
Phone (716) 338-9200

117 Foote Ave
Ste 100
Jamestown, NY 14701
Phone (716) 338-9200

117 Foote Ave
#100
Jamestown, NY 14701
Phone (716) 338-9200

3850 Saunders Settlement Rd
Sanborn, NY 14132
Phone (716) 898-2800

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: spohar@qualitycare.medentdirect.com

Organizations & group practices 11

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 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1114094430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD",
            "address_2": "STE 350",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252591",
            "telephone_number": "716-844-5600",
            "fax_number": "716-844-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016947",
            "telephone_number": "716-338-9500",
            "fax_number": "716-338-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHAR",
        "first_name": "SURJEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101240892",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "219430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/MAMSI",
            "identifier": "2157601",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM 600 GRESHAM DR",
            "identifier": "248692",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LAKE WRIGHT DR",
            "identifier": "308588",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P01233062",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "07269",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "10014992",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907269",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114094430",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201148980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.