Individual provider Active NPI

Sherlyana Surja, M.D.

  • Allergy & Immunology Physician
  • Toledo, OH
National Provider Identifier
1972890028
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35-148878 Issued in OH
Practice address
3125 Transverse Dr Ste D
Toledo, OH 43614-8008
Phone
(419) 383-3660
NPI assigned
Jul 8, 2011
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35-148878 OH Primary
Pediatric Allergy/Immunology Physician 2080P0201X 4301113303 MI
Pediatric Allergy/Immunology Physician 2080P0201X 35.148878 OH
Pediatrics Physician 208000000X 125060551 IL

Addresses

Primary practice location

3125 Transverse Dr Ste D
Toledo, OH 43614-8008

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5023

Other practice location 1

43200 Dequindre Rd Ste 1
Sterling Heights, MI 48314-1707
Phone (586) 323-2600

Other practice location 2

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000

Other practice location 3

3600 W 13 Mile Rd
Royal Oak, MI 48073-6711
Phone (248) 549-0777

Other identifiers 1

IdentifierTypeStateIssuer
0039224MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170802002259 MI Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4486945136 Reassigns benefits to 1 organization
I20240325003176 OH Practitioner - Allergy/Immunology 4486945136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3125 Transverse Dr
Toledo, OH 43614-8008
Phone (419) 383-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-148878OHMDAllergy & Immunology Physician
125060551ILMDPediatrics Physician
35.148878OHMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of Mi PC Allergy & Immunology CurrentSince Jul 1, 2017 Accepting new patients
University of Toledo Physicians LLC Pediatrics CurrentSince Jan 6, 2024 Accepting new patients
Allergy & Asthma Physicians of Royal Oak PC Allergy & Immunology PastSince Jul 1, 2017 Accepting new patients

Locations

3600 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 549-0777

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3125 Transverse Dr
Toledo, OH 43614
Phone (419) 383-3771

3125 Transverse Dr
Ste D
Toledo, OH 43614
Phone (419) 383-3660

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1972890028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5023",
            "fax_number": "419-383-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR STE D",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008",
            "telephone_number": "419-383-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43200 Dequindre Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141707",
            "country_code": "US",
            "telephone_number": "586-323-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123714",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736711",
            "country_code": "US",
            "telephone_number": "248-549-0777",
            "fax_number": "248-549-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURJA",
        "first_name": "SHERLYANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-148878",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "MI",
            "license": "4301113303",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "OH",
            "license": "35.148878",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125060551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.