Dr Vidya Surapaneni, MD - Medicare Pediatrics in Phoenix, AZ

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Dr Vidya Surapaneni, MD is a medicare enrolled "Pediatrics" physician in Phoenix, Arizona. Her current practice location is 2510 W Dunlap Ave, Suite 290, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 789-0344.

Dr Vidya Surapaneni is licensed to practice in Arizona (license number 46178) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851521785.

Contact Information

Dr Vidya Surapaneni, MD
2510 W Dunlap Ave, Suite 290,
Phoenix, AZ 85021-2737
(602) 789-0344
(602) 789-8389

Map and Direction




Physician's Profile

Full NameDr Vidya Surapaneni
GenderFemale
SpecialityPediatrics
Location2510 W Dunlap Ave, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851521785
  • Provider Enumeration Date: 07/27/2009
  • Last Update Date: 11/05/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9931488210
  • Enrollment ID: I20161108002644

Medical Identifiers

Medical identifiers for Dr Vidya Surapaneni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851521785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 46178 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Vidya Surapaneni allows following entities to bill medicare on her behalf.
Entity NameHospitalists Of Arizona, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578564860
PECOS PAC ID: 2163335290
Enrollment ID: O20031112000571
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898
Entity NameBanner Physician Super Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameArizona Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Vidya Surapaneni is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Vidya Surapaneni, MD
2510 W Dunlap Ave, Suite 290,
Phoenix, AZ 85021-2737

Ph: (602) 789-0344		Dr Vidya Surapaneni, MD
2510 W Dunlap Ave, Suite 290,
Phoenix, AZ 85021-2737

Ph: (602) 789-0344

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.