Individual provider Active NPI

Surabhi V Jong, MD

  • Rheumatology Physician
  • Guntersville, AL
National Provider Identifier
1770088312
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
46146 Issued in AL
Practice address
11491 US-431
Guntersville, AL 35976
Phone
(256) 894-6700
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 46146 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11491 US-431
Guntersville, AL 35976

Mailing address

31 Cobbs Cove Way SE
Huntsville, AL 35803-3116
Phone (205) 903-1442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20231026003969 AL Practitioner - Internal MedicinePractitioner - Rheumatology 9931555919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical Center SouthGroup PAC ID 1254627649, 2 clinicians

Practice addresses (Care Compare)

11491 US Hwy 431
Albertville, AL 35950-0136
Phone (256) 894-6700

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46146ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South Rheumatology CurrentSince Aug 6, 2023 Accepting new patients
Marshall Medical Center South Past Accepting new patients

Locations

11491 US Highway 431
Albertville, AL 35950
Phone (256) 894-6700

227 Brittany Rd
Guntersville, AL 35976
Phone (256) 891-3144

Interoperability endpoints

  • Direct secure messaging: surabhivinod@mrc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1770088312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COBBS COVE WAY SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358033116",
            "telephone_number": "205-903-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11491 US-431",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-894-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONG",
        "first_name": "SURABHI",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "46146",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.