Individual provider Active NPI

Surbhi Jain, MD

  • Neurological Surgery Physician
  • Tampa, FL
National Provider Identifier
1346427309
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME103338 Issued in FL
Practice address
6919 N Dale Mabry Hwy
Ste 210
Tampa, FL 33614-3972
Phone
(813) 558-4900
Fax
(813) 558-2155
NPI assigned
Jan 22, 2008
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X ME103338 FL
Neurological Surgery Physician 207T00000X ME103338 FL Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME103338 FL

Addresses

Primary practice location

6919 N Dale Mabry Hwy
Ste 210
Tampa, FL 33614-3972

Mailing address

6919 N Dale Mabry Hwy Ste 250
Tampa, FL 33614-3860
Phone (813) 935-4210

Other identifiers 3

IdentifierTypeStateIssuer
26306OtherFLBLUE CROSS BLUE SHIELD
P01655860OtherFLRAILROAD MEDICARE
280613400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000104 FL Practitioner - Neurosurgery 5395823991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyperbaric and Woundcare IncGroup PAC ID 1052311560, 26 clinicians

Practice addresses (Care Compare)

5140 Deer Park Dr
Suite 102
New Port Richey, FL 34653-7005
Phone (727) 203-3080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103338FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric & Woundcare Inc Undersea and Hyperbaric Medicine CurrentSince Feb 1, 2015 Accepting new patients
Hyperbaric & Woundcare Inc Undersea and Hyperbaric Medicine CurrentSince Feb 1, 2015 Accepting new patients
Tarpon Springs Hospital Foundation Inc Past Accepting new patients
Apple Ophthalmic PA Past Accepting new patients

Locations

205 S Moon Ave
Ste 102
Brandon, FL 33511
Phone (813) 654-9557

205 S Moon Ave
Ste 106
Brandon, FL 33511
Phone (813) 615-7100

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

5140 Deer Park Dr
Ste 102
New Port Richey, FL 34653
Phone (727) 203-3080

3000 Medical Park Dr
Ste 430
Tampa, FL 33613
Phone (813) 615-7160

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

6919 N Dale Mabry Hwy
Ste 210
Tampa, FL 33614
Phone (813) 558-4900

6919 N Dale Mabry Hwy
Ste 250
Tampa, FL 33614
Phone (813) 930-8816

1501 S Pinellas Ave
Ste J
Tarpon Springs, FL 34689
Phone (727) 943-3640

2700 Healing Way
Ste 102
Wesley Chapel, FL 33543
Phone (813) 929-5327

Organizations & group practices 4

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 3

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1346427309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143860",
            "telephone_number": "813-935-4210",
            "fax_number": "813-932-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY",
            "address_2": "STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143972",
            "telephone_number": "813-558-4900",
            "fax_number": "813-558-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SURBHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME103338",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME103338",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME103338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26306",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01655860",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280613400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.