Active NPI
Matthew J. Surburg, MD
- Family Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01055469A
- Practice address
- 7825 McFarland LN Ste a
Indianapolis, IN 46237-3630 - Phone
- (317) 888-5500
- Fax
- (317) 887-4806
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01055469A | IN | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 01055469A | IN |
Addresses
Primary practice location
7825 McFarland LN Ste a
Indianapolis, IN 46237-3630
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
120 W McKenzie Rd Ste H
Greenfield, IN 46140-1072
Phone (317) 462-2335
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7635385 | Other | IN | AETNA PIN# |
| 000000227806 | Other | IN | ANTHEM PIN# |
| 080189954 | Other | IN | MEDICARE RAILROAD # |
| 200405950 | Medicaid | IN | |
| 200311740G | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Family Practice
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7825 McFarland Lane
Suite a
Indianapolis, IN 46237-3632
Phone (317) 787-9471
Hospital & facility affiliations
- Franciscan VNS Home Care, Inc
- Franciscan Health Indianapolis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055469A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Family Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Midwest Medical Management, P.C. | Past | Accepting new patients | |
| Hancock Regional Hospital | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
7825 McFarland Ln
Ste A
Indianapolis, IN 46237
Phone (317) 787-9471
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Surgery Physician
- Greenfield, IN
- NPI 1114016987
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1417996430
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- Home Health Agency
- Beech Grove, IN
- NPI 1649276551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1376545756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 MCFARLAND LN STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462373630",
"telephone_number": "317-888-5500",
"fax_number": "317-887-4806"
}
],
"practiceLocations": [
{
"address_1": "120 W McKenzie Rd Ste H",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "IN",
"postal_code": "461401072",
"country_code": "US",
"telephone_number": "317-462-2335",
"fax_number": "317-462-2069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURBURG",
"first_name": "MATTHEW",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01055469A",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01055469A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN#",
"identifier": "7635385",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN#",
"identifier": "000000227806",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD #",
"identifier": "080189954",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200405950",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200311740G",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.