Mani N. Sury, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00035953 Issued in WA

Practice address

4204 Meridian St
Ste. 105
Bellingham, WA 98226-5545

Phone

(360) 733-4555

Fax

(360) 752-1407

NPI assigned

Jul 28, 2005

Reactivated

Mar 27, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

82.4 of 100Reported as group

Quality

65.6

Improvement activities

40

Cost

71.06

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msury1563872@direct.trinity-health.org

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.

• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459

  Multi-Specialty

  Medicare reassignment NPD
• St. Joseph Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1396166971

  Multi-Specialty

  Medicare reassignment NPD
• Temecula Valley Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1265874135

  Multi-Specialty

  Medicare reassignment NPD
• Galen Inpatient Physicians Inc

  dba Vituity

  • Internal Medicine Physician
  • Hanford, CA
  • NPI 1114285657
  NPD
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1205787686

  Multi-Specialty

  NPD
• Bellingham Medical Clinic Inc

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1457532004

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1922008382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 MERIDIAN ST",
            "address_2": "STE. 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265545",
            "telephone_number": "360-733-4555",
            "fax_number": "360-752-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 MERIDIAN ST",
            "address_2": "STE. 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265545",
            "telephone_number": "360-733-4555",
            "fax_number": "360-752-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURY",
        "first_name": "MANI",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "50879",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00035953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119957",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Services, Inc.
• Sunrise Services, Inc.
• Super Track Urgent Care LLC
• Surgical & Endovascular Specialist
• Renee Leah Surratt, LMP
• Susans Acupuncture & Herbal Clinic PS Inc
• Michael Alan Sutherland, M.D.
• Rebecca L Sutter, MA CMHC
• Lisa M Swan
• Malcolm Andrew Swan, MD

• Internal Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.