Jasvant S Surani, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME103068 Issued in FL

Practice address

1050 37TH PL
Suite 104
Vero Beach, FL 32960-6501

Phone

(772) 569-3212

Fax

(772) 569-1435

NPI assigned

Mar 23, 2006

Last updated

Aug 27, 2014By the provider in NPPES

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

Other identifiers 6

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234

  Pediatrics

  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Orlando Kidney Care LLC

  dba Florida Kidney Care LLC

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1922455989
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1780644070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 37TH PL",
            "address_2": "SUITE 104",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606501",
            "telephone_number": "772-569-3212",
            "fax_number": "772-569-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 37TH PL",
            "address_2": "SUITE 104",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606501",
            "telephone_number": "772-569-3212",
            "fax_number": "772-569-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURANI",
        "first_name": "JASVANT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1383591",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME103068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000401250001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00561486",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPHP",
            "identifier": "10002697",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426006769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "76E60",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "26112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Grace Enterprises LLC (SYNERGY HomeCare of Vero Beach)
• Sunshine Physical Therapy Clinic
• Sunshine Rd LLC
• Sunshine Rehabilitation Center of Indian River County, Inc. (Sunshine Physical Therapy Clinic)
• Falguni Sura, MD
• Surgical Pain Consultants of Florida PLLC
• Raymond Sutkowski, MD
• Daniel David Sutphin, MD
• Shakti Sutriasa, MSW
• Dustin Skye Swann, P.A.

• Pediatrics Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.