Active NPI
David Leslie Surujpaul, MD
- Family Medicine Physician
- Reno, NV
National Provider Identifier
1457039778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29359
- Practice address
- 645 N Arlington Ave Ste 525
Reno, NV 89503-4452 - Phone
- (775) 770-7664
- NPI assigned
- Jul 6, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29359 | NV | Primary |
Addresses
Primary practice location
645 N Arlington Ave Ste 525
Reno, NV 89503-4452
Mailing address
645 N Arlington Ave Ste 525
Reno, NV 89503-4452
Phone (775) 770-7664
Other practice location 1
983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Phone (402) 595-2275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230815004099 | NE | Order and Referring Only - Family Practice | 1254793748 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- david.surujpaul@familypractgi.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1457039778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 N ARLINGTON AVE STE 525",
"city": "RENO",
"state": "NV",
"postal_code": "895034452",
"telephone_number": "775-770-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 N ARLINGTON AVE STE 525",
"city": "RENO",
"state": "NV",
"postal_code": "895034452",
"telephone_number": "775-770-7664"
}
],
"practiceLocations": [
{
"address_1": "983075 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681983075",
"country_code": "US",
"telephone_number": "402-595-2275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURUJPAUL",
"first_name": "DAVID",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-06",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "29359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.