Individual provider Active NPI

Suraj Thangada, M.D.

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1407107790
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT203020 Issued in PA
Practice address
501 Madison Ave
Scranton, PA 18510-2401
Phone
(570) 343-2383
NPI assigned
Sep 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT203020 PA Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 35.130161 OH

Addresses

Primary practice location

501 Madison Ave
Scranton, PA 18510-2401

Mailing address

102 Robertsville Rd
Manalapan, NJ 07726-2831
Phone (732) 567-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160406002039 PA Practitioner - Internal MedicinePractitioner - Hospitalist 2961700042 Reassigns benefits to 4 organizations
I20170210002166 OH Practitioner - Internal Medicine 2961700042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Providers Partners PLLCGroup PAC ID 3375987480, 11 clinicians

Practice addresses (Care Compare)

25 N Lansdowne Ave
Lansdowne, PA 19050-2205
Phone (631) 268-5644

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT203020PAMDInternal Medicine Physician
35.130161OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Mar 15, 2016 Accepting new patients
Regional Health Services Inc Multi-Specialty CurrentSince Aug 12, 2017 Accepting new patients
Apogee Medical Group of Pennsylvania PC Multi-Specialty CurrentSince Mar 15, 2016 Accepting new patients
4M Hospitalist Services, LLC Multi-Specialty CurrentSince Dec 4, 2017 Accepting new patients
Medical Providers Partners PLLC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Multi-Specialty CurrentSince Jan 20, 2017 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

25 N Lansdowne Ave
Lansdowne, PA 19050
Phone (631) 268-5644

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 7

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 1

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1407107790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROBERTSVILLE RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262831",
            "telephone_number": "732-567-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102401",
            "telephone_number": "570-343-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGADA",
        "first_name": "SURAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT203020",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.130161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.