Active NPI
Tanmay Dipakkumar Sura
- Physician Assistant
- Baltimore, MD
National Provider Identifier
1437061223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 520 W Fayette St Ste 300
Baltimore, MD 21201-1756 - Phone
- (919) 579-8667
- NPI assigned
- Sep 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
520 W Fayette St Ste 300
Baltimore, MD 21201-1756
Mailing address
5209 Platinum Creek CT
Raleigh, NC 27616-6262
Phone (410) 706-5243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1437061223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5209 PLATINUM CREEK CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276166262",
"telephone_number": "410-706-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W FAYETTE ST STE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011756",
"telephone_number": "919-579-8667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURA",
"first_name": "TANMAY",
"middle_name": "DIPAKKUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Supportive Team of Restorative Management Behavioral Services (Storm Behavioral Services)
- Supportive Therapeutic Solutions
- Supportivie Thriving Altruistic Reliable Living LLC (S.T.A.R Living)
- Supreme Surgical Associates Inc
- Samir Sur, M.D.
- Delwin Suraj
- Maryam Shafiah Suraleigh
- Sure Hands Healthcare Solutions
- Sure Steps Health Care Services Inc.
- Sureexxam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.