Active NPI
Surbhi Jain, MD
- Neurological Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME103338
- 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, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26306 | Other | FL | BLUE CROSS BLUE SHIELD |
| P01655860 | Other | FL | RAILROAD MEDICARE |
| 280613400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5140 Deer Park Dr
Suite 102
New Port Richey, FL 34653-7005
Phone (727) 203-3080
Hospital & facility affiliations
- Adventhealth North Pinellas
- AdventHealth Carrollwood
- H Lee Moffitt Cancer Center & Research Institute I
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 17 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103338 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric & Woundcare Inc | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Hyperbaric & Woundcare Inc | Undersea and Hyperbaric Medicine | Current | 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Tampa, FL
- NPI 1457308173
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Hazlehurst, GA
- NPI 1780105296
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
-
dba AdventHealth Carrollwood
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.