Individual provider Active NPI

Amish Chandrakant Sura, MD

  • Cardiovascular Disease Physician
  • Winston Salem, NC
National Provider Identifier
1245285402
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2018-02147 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-6674
Fax
(336) 716-9188
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0064227 MD
Interventional Cardiology Physician 207RI0011X D0064227 MD
Interventional Cardiology Physician 207RI0011X 2018-02147 NC
Nuclear Medicine Physician 207U00000X D0064227 MD
Nuclear Cardiology Physician 207UN0901X D0064227 MD
Cardiovascular Disease Physician 207RC0000X 2018-02147 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674

Other practice location 1

2555 Court Dr Ste 200
Gastonia, NC 28054
Phone (704) 867-2141

Other practice location 2

301 Saint Paul Pl
Heart Center - Burk Bldg 310
Baltimore, MD 21202-2102
Phone (410) 332-9752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 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
I20181026000844 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8224035746 Reassigns benefits to 7 organizations
I20230102000246 TX Practitioner - Cardiovascular Disease (Cardiology) 8224035746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians
Catawba Valley Medical CenterGroup PAC ID 0547178907, 105 clinicians

Practice addresses (Care Compare)

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4100

3521 Graystone PL SE
Suite 202
Conover, NC 28613-8269
Phone (828) 732-5700

810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3809

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064227MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Harnett Health System, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Jan 8, 2024 Accepting new patients
Caromont Medical Group, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Watauga Medical Center Inc CurrentSince Aug 12, 2020 Accepting new patients
Catawba Valley Medical Center Cardiovascular Disease CurrentSince Jan 8, 2024 Accepting new patients
Fayetteville Heart Center, P.C. CurrentSince Mar 1, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Dec 5, 2022 Accepting new patients
Harnett Health System Inc CurrentSince Nov 6, 2023 Accepting new patients
Watauga Medical Center Inc Cardiovascular Disease CurrentSince Aug 12, 2020 Accepting new patients
Catawba Valley Medical Center Current Accepting new patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients
Catawba Valley Medical Group, Inc Cardiovascular Disease CurrentSince Jan 8, 2024 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jan 9, 2025 Accepting new patients
Catawba Valley Medical Center CurrentSince Jan 8, 2024 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354

2301 Robeson St
Ste 301
Fayetteville, NC 28305
Phone (910) 484-4100

2555 Court Dr
Ste 200
Gastonia, NC 28054
Phone (704) 671-7670

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: asura112690@capefearvalley.direct-ci.com
  • Direct secure messaging: amish.sura@cvmg.eclinicaldirectplus.com
  • Direct secure messaging: asura2976764@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1245285402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Court Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "28054",
            "country_code": "US",
            "telephone_number": "704-867-2141",
            "fax_number": "704-867-2308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Saint Paul Pl",
            "address_2": "Heart Center - Burk Bldg 310",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022102",
            "country_code": "US",
            "telephone_number": "410-332-9752",
            "fax_number": "410-332-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURA",
        "first_name": "AMISH",
        "middle_name": "CHANDRAKANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0064227",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D0064227",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2018-02147",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MD",
            "license": "D0064227",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MD",
            "license": "D0064227",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2018-02147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.