Surya K Challa, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25241 Issued in NC

Practice address

1365 Westgate Center Dr Ste N1
Winston Salem, NC 27103-3106

Phone

(336) 765-3337

Fax

(336) 765-3133

NPI assigned

Nov 22, 2005

Sex

Female

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 3

Other names 1

• Surya K Challa Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

PsychiatryAlso: Addiction Medicine

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Envisions of Life LLC

  • Case Management Agency
  • Greensboro, NC
  • NPI 1881788818
  Medicare reassignment NPD
• River Region Psychiatry Associates LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497

  NC

  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment
• Bethany Medical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Kernersville, NC
  • NPI 1619398997
  NPD (past)
• Bethany Medical Center

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1952404188
  NPD (past)
• New River Service Authority

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1659532562
  NPD (past)
• New River Service Authority

  • Foster Care Agency
  • Boone, NC
  • NPI 1720360944
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730162819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 GILMER ST",
            "address_2": "SUITE 206",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203860",
            "telephone_number": "336-347-7415",
            "fax_number": "336-347-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE N1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-765-3337",
            "fax_number": "336-765-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLA",
        "first_name": "SURYA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "25241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "132VT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410016",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132VT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURYA",
            "last_name": "CHALLA",
            "middle_name": "K",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Domenic Cetrone
• Karen Elizabeth Chacko
• Eleanore Jeanine Chadwell, LPC
• William Clifton Chafin Jr., MD, RN
• Daniela Chala Garcia, MD
• Andre Floyd Chambers
• Beverly Jean Chambers, LMBT
• Kacie Dillon Chambers, M.D.
• Tracy D Chambers
• Anna Chamness

• Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.