Active NPI
Victoria Surdulescu, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 35-071140
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 395-8805
- Fax
- (937) 395-8821
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-071140 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 35-071140 | OH | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 35.071140 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35-071140 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
5240 E Galbraith Rd
Cincinnati, OH 45236-2877
Phone (513) 442-2432
Other practice location 2
235 N Breiel Blvd
Middletown, OH 45042-3807
Phone (513) 783-4222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077318 | Medicaid | OH | |
| 64073836 | Medicaid | KY | |
| P00346961 | Other | OH | RAIL ROAD MEDICARE |
| 200431950 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vsurdulescu193845@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Health Main Campus
- Kettering Health Greene Memorial
- Kettering Health Dayton
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-071140 | OH | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients | |
| University Internal Medicine Associates, Inc. | Internal Medicine | Past | Accepting new patients |
| West Chester Hospital LLC | Internal Medicine | Past | Accepting new patients |
| University Hematology Oncology Care, Inc. | Past | Accepting new patients |
Locations
3095 Dayton Xenia Rd
Ste 900
Dayton, OH 45434
Phone (937) 458-4010
1380 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 863-2800
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Internal Medicine
-
- Pediatric Sleep Medicine Physician
- Columbus, OH
- NPI 1699856823
-
- Medical Oncology Physician
- Cincinnati, OH
- NPI 1720044019
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1588620850
-
- Community/Retail Pharmacy
- West Chester, OH
- NPI 1912285115
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Xenia, OH
- NPI 1255317848
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1326005877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310",
"fax_number": "937-522-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-395-8805",
"fax_number": "937-395-8821"
}
],
"practiceLocations": [
{
"address_1": "5240 E Galbraith Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452362877",
"country_code": "US",
"telephone_number": "513-442-2432",
"fax_number": "513-442-2434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 N Breiel Blvd",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450423807",
"country_code": "US",
"telephone_number": "513-783-4222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURDULESCU",
"first_name": "VICTORIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2022-04-12",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-071140",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35-071140",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "OH",
"license": "35.071140",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35-071140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2077318",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64073836",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00346961",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200431950",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vsurdulescu193845@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.