NPIMap

Individual provider Active NPI

Sergiu Surdulescu, MD

  • Internal Medicine Physician
  • Vail, CO
National Provider Identifier
1609972769
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45091 Issued in CO
Practice address
181 W Meadow Dr
Vail, CO 81657-5242
Phone
(970) 476-2451
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37475 KY
Hospitalist Physician 208M00000X DR.0045091 CO
Internal Medicine Physician 207R00000X 45091 CO Primary

Addresses

Primary practice location

181 W Meadow Dr
Vail, CO 81657-5242

Mailing address

5200 DTC Pkwy
Suite 400
Greenwood Village, CO 80111-2709
Phone (303) 745-0000

Other practice location 1

5200 Dtc Pkwy
Suite 400
Greenwood Village, CO 80111-2709
Phone (303) 745-0000

Other identifiers 1

IdentifierTypeStateIssuer
66508231MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) Vail Clinic, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070201000198 CO Practitioner - Internal Medicine 4385544246 Reassigns benefits to 2 organizations
I20170331001325 TX Practitioner - Internal Medicine 4385544246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1280 Village Rd
Avon, CO 81620-5374
Phone (970) 949-0800

181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45091COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Internal Medicine CurrentSince Jan 18, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jan 23, 2017 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Dec 1, 2016 Accepting new patients
Valley View Hospital Association CurrentSince Jan 18, 2022 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Vail Clinic, Inc. CurrentSince Apr 8, 2018 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Vail Clinic, Inc. CurrentSince Apr 8, 2018 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 1, 2016 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine Past Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients
Claudia B. Wyrick, M.D., Prof. LLC Hospitalist Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609972769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DTC PKWY",
            "address_2": "SUITE 400",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112709",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242",
            "telephone_number": "970-476-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Dtc Pkwy",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112709",
            "country_code": "US",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURDULESCU",
        "first_name": "SERGIU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37475",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0045091",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "45091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66508231",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "Vail Clinic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.