Individual provider Active NPI

Neil Chandra Suryadevara, M.D., M.P.H.

  • Vascular Neurology Physician
  • Pittsburgh, PA
National Provider Identifier
1790217370
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
MD478048 Issued in PA
Practice address
1350 Locust St Ste 105
Pittsburgh, PA 15219-4738
Phone
(412) 232-8840
NPI assigned
Apr 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD478048 PA
Vascular Neurology Physician 2084V0102X MD478048 PA Primary

Addresses

Primary practice location

1350 Locust St Ste 105
Pittsburgh, PA 15219-4738

Mailing address

1350 Locust St Ste 105
Pittsburgh, PA 15219-4738
Phone (412) 232-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240827002276 NV Practitioner - Vascular SurgeryPractitioner - Neurology 4284971813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Neurology Las Vegas LLCGroup PAC ID 1355736646, 9 clinicians

Practice addresses (Care Compare)

3201 S Maryland Pkwy
Suite 318
Las Vegas, NV 89109-2425
Phone (702) 707-6960

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD478048PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Neurology Las Vegas LLC Vascular Neurology CurrentSince Sep 1, 2024 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

3201 S Maryland Pkwy
Ste 318
Las Vegas, NV 89109
Phone (702) 629-7490

3196 S Maryland Pkwy
Ste 405
Las Vegas, NV 89109
Phone (702) 707-6960

Interoperability endpoints

  • Direct secure messaging: neil.suryadevara@200733209001988.direct.elationemr.com

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 4

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1790217370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYADEVARA",
        "first_name": "NEIL",
        "middle_name": "CHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD478048",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "PA",
            "license": "MD478048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.