Surianarayanan Ambalavanan, MD - Medicare Otolaryngology in Celina, OH

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Surianarayanan Ambalavanan, MD is a medicare enrolled "Otolaryngology" physician in Celina, Ohio. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Jtdm Family Practice Llc and his current practice location is 801 Pro Dr Ste D4, Vanan Ent & Sinus Center, Celina, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 586-6480.

Surianarayanan Ambalavanan is licensed to practice in Ohio (license number 35-090880) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922061910.

Contact Information

Surianarayanan Ambalavanan, MD
801 Pro Dr Ste D4, Vanan Ent & Sinus Center,
Celina, OH 45822-3307
(419) 586-6480
(419) 586-8509

Map and Direction




Physician's Profile

Full NameSurianarayanan Ambalavanan
GenderMale
SpecialityOtolaryngology
Experience46 Years
Location801 Pro Dr Ste D4, Celina, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Surianarayanan Ambalavanan graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1922061910
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 08/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971531393
  • Enrollment ID: I20080327000083

Medical Identifiers

Medical identifiers for Surianarayanan Ambalavanan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922061910NPI-NPPES
2820755MedicaidOH
1184652539OtherOHGROUP NPI
9934723OtherOHMEDICARE GROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 35-090880 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercer County Joint Township Community HospitalColdwater, OHHospital
Grand Lake Health SystemSaint marys, OHHospital
Mercy Health-st Rita's Medical CenterLima, OHHospital
Lima Memorial Health SystemLima, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jtdm Family Practice Llc216341583742

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. Surianarayanan Ambalavanan allows following entities to bill medicare on his behalf.
Entity NameJtdm Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184652539
PECOS PAC ID: 2163415837
Enrollment ID: O20040407000863

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. Surianarayanan Ambalavanan 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
Surianarayanan Ambalavanan, MD
200 Saint Clair Ave, Jtdm Family Practice Llc,
Saint Marys, OH 45885-2400

Ph: (419) 394-3387		Surianarayanan Ambalavanan, MD
801 Pro Dr Ste D4, Vanan Ent & Sinus Center,
Celina, OH 45822-3307

Ph: (419) 586-6480

Reviews and Comments


Otolaryngology Doctors in Celina, OH

Jong Ho Won, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 2204 Eaglebrooke Cir, Celina, OH 45822
Phone: 419-586-3945    

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.