Surjit K Athwal Johal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME004155 Issued in FL

Practice address

1487 Lyons Rd
Coconut Creek, FL 33063-3934

Phone

(954) 973-9222

Fax

(954) 973-7135

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Health Group of South Florida IncGroup PAC ID 7214901586, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Doctors Health Group of South Florida Inc

  • Internal Medicine Physician
  • Coconut Creek, FL
  • NPI 1093723348
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1679586044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 HIGH PINE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330656012",
            "telephone_number": "954-644-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-973-9222",
            "fax_number": "954-973-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHWAL JOHAL",
        "first_name": "SURJIT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME004155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ars Living Group LLC
• Associated First Assistants Inc
• Assuravita LLC
• Assure Home Health Inc
• Bryan T Aston Jr., LCSW
• Atlas Cruz LLC
• Attuned Heart, LLC
• Melissa Austria, APRN
• Kathlene Judith Ayala
• Yasaman Babamohammadi, RMHCI

• Internal Medicine Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.