Surendra K. Johri, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

238870-1 Issued in NY

Practice address

1427 Genesee St
Utica, NY 13501-4343

Phone

(315) 738-1428

Fax

(315) 738-1461

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Neighborhood Center, Inc.

  • Mental Health Counselor
  • Utica, NY
  • NPI 1811088719
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1629022140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651300",
            "telephone_number": "315-508-5083",
            "fax_number": "315-823-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014343",
            "telephone_number": "315-738-1428",
            "fax_number": "315-738-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHRI",
        "first_name": "SURENDRA",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "238870-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474180",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Johnson
• Nancy A Johnson, LCSW
• Rita Johnson, PT
• Tiesha D Johnson, PMHNP
• Michelle M Johnston, MD
• Kathleen Bridget Joly, M.S., RPA-C
• Allison Jones
• Cynthia L Jones, MD, MPH
• Jacquette Jones
• Jessie Jones

• Psychiatry Physician in Utica, NY
• Providers in Utica, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.