Active NPI
Joseph V Surdacki, M.D.
- Pulmonary Disease Physician
- Carrollton, TX
National Provider Identifier
1174591986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- H6641
- Practice address
- 3032 E Hebron Pkwy
Suite 101
Carrollton, TX 75010-4465 - Phone
- (972) 865-2880
- Fax
- (972) 865-2870
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | H6641 | TX | Primary |
Addresses
Primary practice location
3032 E Hebron Pkwy
Suite 101
Carrollton, TX 75010-4465
Mailing address
3032 E Hebron Pkwy
Suite 101
Carrollton, TX 75010-4465
Phone (972) 865-2880
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BW943 | Other | TX | BLUE CROSS |
| 955906001 | Other | TX | CIGNA |
| 1209175 | Other | TX | UNITED HEALTHCARE |
| 5517131 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Texas Medical School at Houston, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3032 E Hebron Pkwy
Suite 101
Carrollton, TX 75010-4465
Phone (972) 865-2880
Hospital & facility affiliations
- Harris Hospice Inc
- Texas Health Presbyterian Hospital Plano
- Carrollton Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.42 of 100
- Quality
- 89.26
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 72.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6641 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Associates of North Dallas, PA | Pulmonary Disease | Current | Accepting new patients |
| Dallas Pulmonary Associates | Pulmonary Disease | Past | Accepting new patients |
Locations
3032 E Hebron Pkwy
Ste 101
Carrollton, TX 75010
Phone (972) 865-2880
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBAGAA/Endpoint/CBAGAA
- https://fhir4.healow.com/fhir/r4/CBAGAA
- elizabeth.drake@pand.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Carrollton, TX
- NPI 1336390145
-
- Pulmonary Disease Physician
- Dallas, TX
- NPI 1659302024
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Lewisville, TX
- NPI 1487624813
-
- General Acute Care Hospital
- Carrollton, TX
- NPI 1184262800
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1174591986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3032 E HEBRON PKWY",
"address_2": "SUITE 101",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104465",
"telephone_number": "972-865-2880",
"fax_number": "972-865-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3032 E HEBRON PKWY",
"address_2": "SUITE 101",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104465",
"telephone_number": "972-865-2880",
"fax_number": "972-865-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURDACKI",
"first_name": "JOSEPH",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "H6641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8BW943",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "955906001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1209175",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5517131",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.