NPIMap

Individual provider Active NPI

Surovi Hazarika, M.D.

  • Cardiovascular Disease Physician
  • Charlottesville, VA
National Provider Identifier
1548428287
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101249113 Issued in VA
Practice address
2955 Ivy Rd Ste 201
Charlottesville, VA 22903-9353
Phone
(434) 243-1000
Fax
(434) 244-7551
NPI assigned
May 29, 2008
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 0101249113 VA Primary

Addresses

Primary practice location

2955 Ivy Rd Ste 201
Charlottesville, VA 22903-9353

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921001393 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113156928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

14601 Detroit Ave
Lakewood, OH 44107-4205

15800 Detroit Ave
Suite a
Lakewood, OH 44107-3749
Phone (216) 226-8700

1730 W 25TH St
Cleveland, OH 44113-3108

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

1813 Nagel Rd
Suite 500
Avon, OH 44011-6401
Phone (440) 695-6740

19895 Detroit Rd
Rocky River, OH 44116-1815
Phone (440) 356-5500

20455 Lorain Rd
Fairview Park, OH 44126-3530

24700 Lorain Rd
North Olmsted, OH 44070-2068

303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

34960 Ctr Ridge Rd
North Ridgeville, OH 44039-3183
Phone (440) 835-3700

450 Avon Belden Rd
Avon Lake, OH 44012-2282
Phone (440) 930-6800

5172 Leavitt Rd
Lorain, OH 44053-2384

5172 N Leavitt Rd
Lorain, OH 44053-2384
Phone (440) 282-7420

5334 Meador Lane CT
Sheffield Village, OH 44035-1469

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone (440) 204-7400

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 23, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

303 Chestnut Commons Dr
Elyria, OH 44035
Phone (440) 204-7902

5700 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 204-7400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1548428287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 IVY RD STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229039353",
            "telephone_number": "434-243-1000",
            "fax_number": "434-244-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARIKA",
        "first_name": "SUROVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101249113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.