NPIMap

Individual provider Active NPI

Kavita Surti, M.D.

  • Ophthalmology Physician
  • Covina, CA
National Provider Identifier
1285732727
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A83552 Issued in CA
Practice address
475 West Badillo Street
Covina, CA 91723-1902
Phone
(626) 732-2200
Fax
(626) 732-2900
NPI assigned
Sep 20, 2006
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A83552 CA Primary

Addresses

Primary practice location

475 West Badillo Street
Covina, CA 91723-1902

Mailing address

420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645
Phone (213) 625-2694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040524000185 CA Practitioner - Ophthalmology 5294726618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

475 W Badillo St
Covina, CA 91723-1834
Phone (626) 732-2200

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
91.88
Promoting interoperability
76
Improvement activities
40
Cost
76.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery195

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kavita Surti MD Inc Ophthalmology CurrentSince Jun 1, 2010 Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology Past Accepting new patients
San Dimas Community Hospital, Inc. Ophthalmology Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

475 W Badillo St
Covina, CA 91723
Phone (626) 331-2209

420 E 3rd St
Ste 603
Los Angeles, CA 90013
Phone (213) 625-2694

23441 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 370-3628

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1285732727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "STE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-625-2694",
            "fax_number": "213-224-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WEST BADILLO STREET",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231902",
            "telephone_number": "626-732-2200",
            "fax_number": "626-732-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURTI",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A83552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.