Individual provider Active NPI

Suruchi Taneja, MD

  • Physical Medicine & Rehabilitation Physician
  • Broken Arrow, OK
National Provider Identifier
1508083676
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
27246 Issued in OK
Practice address
1200 W Albany St
Broken Arrow, OK 74012-8146
Phone
(918) 744-2338
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 27246 OK Primary

Addresses

Primary practice location

1200 W Albany St
Broken Arrow, OK 74012-8146

Mailing address

PO Box 1440
Jenks, OK 74037-1440
Phone (918) 779-9594

Other practice location 1

4502 east 41st street
tulsa, OK 74135-9923
Phone (314) 658-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000903 OK Practitioner - Physical Medicine and Rehabilitation 6103952080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 W Albany St
Broken Arrow, OK 74012-8146
Phone (918) 957-3000

Hospital & facility affiliations

  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Pam Rehabilitation Hospital of Tulsa Inpatient rehabilitation facility, Tulsa, OK, CCN 373035

Merit-based Incentive Payment System (MIPS)

Final score
91.11 of 100Reported as individual
Quality
72.22
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27246OKMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Drtaneja PLC Physical Medicine & Rehabilitation CurrentSince Dec 1, 2020 Accepting new patients
St. John Physicians, Inc CurrentSince Jan 11, 2016 Accepting new patients
St. John Physicians, Inc. CurrentSince Jan 11, 2016 Accepting new patients
St. John Encompass Health Rehabilitation Hospital, LLC Past Accepting new patients

Locations

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1200 W Albany St
Broken Arrow, OK 74012
Phone (918) 744-2338

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

4502 E 41st St
Tulsa, OK 74135
Phone (918) 579-2367

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 4

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 6

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1508083676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740371440",
            "telephone_number": "918-779-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ALBANY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128146",
            "telephone_number": "918-744-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 east 41st street",
            "address_purpose": "LOCATION",
            "city": "tulsa",
            "state": "OK",
            "postal_code": "741359923",
            "country_code": "US",
            "telephone_number": "314-658-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANEJA",
        "first_name": "SURUCHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "27246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.