Surender Gorukanti, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

229439 Issued in NY

Practice address

1721 86TH St
Brooklyn, NY 11214-2817

Phone

(718) 331-6064

Fax

(718) 331-4718

NPI assigned

Sep 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• KS Medical, PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1295131506
  NPD
• MBD Care LLC

  • Clinic/Center
  • Staten Island, NY
  • NPI 1538042650
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1750488292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142817",
            "telephone_number": "718-331-6064",
            "fax_number": "718-331-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142817",
            "telephone_number": "718-331-6064",
            "fax_number": "718-331-4718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Victory Blvd Unit A",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103146792",
            "country_code": "US",
            "telephone_number": "718-494-3500",
            "fax_number": "718-494-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORUKANTI",
        "first_name": "SURENDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "229439",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulia Gorokhovsky, PSYD
• Georgine Anne Gorra, D.S.W.; L.C.S.W.
• Karolina Gorska
• Robert Mitchell Gorski Jr., M.D.
• Alekhya Gorti, MD
• Wendell Joseph Gorum II, MD
• Vladimir Gorvits, M.S.
• Varendra Jhanak Gosein, M.D.
• Lorie Goshin, PMHNP-BC
• Cheryl Anne Goss, M.D.

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.