NPIMap

Individual provider Active NPI

Gyan C Surana, M.D.

  • Internal Medicine Physician
  • Churchton, MD
National Provider Identifier
1265446694
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0050653 Issued in MD
Practice address
5554 Muddy Creek Rd
Churchton, MD 20733-2410
Phone
(410) 867-6700
Fax
(410) 867-6860
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0050653 MD Primary

Addresses

Primary practice location

5554 Muddy Creek Rd
Churchton, MD 20733-2410

Mailing address

5554 Muddy Creek Rd
Churchton, MD 20733-2410
Phone (410) 867-6700

Other identifiers 1

IdentifierTypeStateIssuer
154360101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000261 MD Practitioner - Internal Medicine 2365593936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5554 Muddy Creek Rd
Churchton, MD 20733-2410
Phone (410) 867-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
80.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050653MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gyan C Surana MD.PC. Internal Medicine CurrentSince Apr 7, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Thibin Santha MD, PC Past Accepting new patients
Psychogeriatric Services LLC Past Accepting new patients
Solomons Skilled Nursing Center LLC Past Accepting new patients
Asbury Atlantic, Inc Past Accepting new patients
Calvert Health Ventures Inc Internal Medicine Past Accepting new patients

Locations

5554 Muddy Creek Rd
Churchton, MD 20733
Phone (410) 867-6700

5851 Deale Churchton Rd
Ste 16
Deale, MD 20751
Phone (410) 326-6978

3995 Old Town Rd
Ste 202
Huntingtown, MD 20639
Phone (301) 870-0660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20653/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gyan.surana@surana.direct.emds.com

Organizations & group practices 7

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 12

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1265446694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 MUDDY CREEK RD",
            "city": "CHURCHTON",
            "state": "MD",
            "postal_code": "207332410",
            "telephone_number": "410-867-6700",
            "fax_number": "410-867-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 MUDDY CREEK RD",
            "city": "CHURCHTON",
            "state": "MD",
            "postal_code": "207332410",
            "telephone_number": "410-867-6700",
            "fax_number": "410-867-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURANA",
        "first_name": "GYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154360101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Churchton, MD

Sources for this page

Verify at the official NPI Registry.