NPIMap

Individual provider Active NPI

Sandarsh Surya, MBBS

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1346538774
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
075535 Issued in GA
Practice address
1 Medical Center Blvd
Department of Psychiatry
Winston Salem, NC 27157-0001
Phone
(314) 662-1682
Fax
(336) 716-7080
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 172607 NC
Psychiatry Physician 2084P0800X 075535 GA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Department of Psychiatry
Winston Salem, NC 27157-0001

Mailing address

997 Saint Sebastian Way
Department of Psychiatry
Augusta, GA 30912-2613
Phone (314) 662-1682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160726000951 GA Practitioner - Psychiatry 8426291139 Reassigns benefits to 3 organizations
I20241113004809 SC Practitioner - Psychiatry 8426291139 Reassigns benefits to 2 organizations
I20250328000213 TX Practitioner - Psychiatry 8426291139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

5151 Maple Ave
Dallas, TX 75235-8136
Phone 21426633338136

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075535GAMDPsychiatry Physician
172607NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Psychiatry CurrentSince Jan 20, 2025 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Aug 1, 2016 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 20, 2025 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Aug 1, 2016 Accepting new patients
Christopher Dennis MD PLLC Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2016 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2016 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

997 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 721-3141

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-0013

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 10

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.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1346538774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 SAINT SEBASTIAN WAY",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309122613",
            "telephone_number": "314-662-1682",
            "fax_number": "336-716-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "314-662-1682",
            "fax_number": "336-716-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYA",
        "first_name": "SANDARSH",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "172607",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "075535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.