Active NPI
Gyan C Surana MD.PC.
- Internal Medicine Physician
- Churchton, MD
National Provider Identifier
1639313570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GYAN C SURANA MD.PC.
- Practice address
- 5554 Muddy Creek Rd
Churchton, MD 20733-2410 - Phone
- (410) 867-6700
- Fax
- (410) 867-6860
- NPI assigned
- Apr 22, 2009
- Last updated
- Dec 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chandra Jain
- Title
- Office Manager
- Phone
- (410) 867-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5554 Muddy Creek Rd
Churchton, MD 20733-2410
Mailing address
5554 Muddy Creek Rd
Churchton, MD 20733-2410
Phone (410) 867-6700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154360101 | Medicaid | MD | |
| 154360100 | Medicaid | MD | |
| 154360102 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0967070 | Gyan C Surana MD | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Churchton, MD
- NPI 1265446694
-
- Internal Medicine Physician
- Waldorf, MD
- NPI 1912938176
-
- Nephrology Physician
- Huntingtown, MD
- NPI 1144241068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1639313570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5554 MUDDY CREEK RD",
"city": "CHURCHTON",
"state": "MD",
"postal_code": "207332410",
"telephone_number": "410-867-6700",
"fax_number": "410-867-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5554 MUDDY CREEK RD",
"city": "CHURCHTON",
"state": "MD",
"postal_code": "207332410",
"telephone_number": "410-867-6700",
"fax_number": "410-867-6860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYAN C SURANA MD.PC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-22",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "CHANDRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "410-867-6700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154360101",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154360100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154360102",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Churchton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.