Individual provider Active NPI

Steve Glenn Surratt, M.D.

  • Ophthalmology Physician
  • Cleburne, TX
National Provider Identifier
1922060276
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G8983 Issued in TX
Practice address
1665 Woodard Ave
Suite 209
Cleburne, TX 76033-7051
Phone
(817) 641-2020
Fax
(817) 641-2035
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G8983 TX Primary

Addresses

Primary practice location

1665 Woodard Ave
Suite 209
Cleburne, TX 76033-7051

Mailing address

1665 Woodard Ave
Suite 209
Cleburne, TX 76033-7051
Phone (817) 641-2020

Other identifiers 1

IdentifierTypeStateIssuer
079888601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101220000534 TX Practitioner - Ophthalmology 0547265191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1665 Woodard Ave
Cleburne, TX 76033-7051
Phone (817) 641-2020

Merit-based Incentive Payment System (MIPS)

Final score
22.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery234
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8983TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steve G. Surratt, M.D., P.a. Ophthalmology Current Accepting new patients
Steve G. Surratt, M.D., P.a. Ophthalmology CurrentSince Aug 31, 1993 Accepting new patients

Locations

1665 Woodard Ave
Cleburne, TX 76033
Phone (817) 441-2851

1665 Woodard Ave
Ste 209
Cleburne, TX 76033
Phone (817) 641-2020

203 Walls Dr
Ste 209
Cleburne, TX 76033
Phone (817) 641-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1922060276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 WOODARD AVE",
            "address_2": "SUITE 209",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337051",
            "telephone_number": "817-641-2020",
            "fax_number": "817-641-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 WOODARD AVE",
            "address_2": "SUITE 209",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337051",
            "telephone_number": "817-641-2020",
            "fax_number": "817-641-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "STEVE",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G8983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079888601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.