Surya Deepika Appalla, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. Her current practice location is
1 University Of New Mexico # 105550, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 272-4661.
Surya Deepika Appalla is licensed to practice in * (Not Available) (license number ) 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 1891195400.
Physician's Profile
Full Name | Surya Deepika Appalla |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 University Of New Mexico # 105550, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891195400
- Provider Enumeration Date: 09/02/2014
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052681541
- Enrollment ID: I20190524001433
Medical Identifiers
Medical identifiers for Surya Deepika Appalla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891195400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 44319 (Iowa) | Secondary |
208000000X | Pediatrics | MD2019-0070 (New Mexico) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | M2019-0070 (New Mexico) | Secondary |
2080S0012X | Pediatrics - Sleep Medicine | MD2019-0070 (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MD2019-0070 (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Surya Deepika Appalla allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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Entity Name | Omnisleep Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508093469 PECOS PAC ID: 1658303987 Enrollment ID: O20091216000439 |
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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. Surya Deepika Appalla 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 Address | Practice Location Address |
Surya Deepika Appalla, MD 8304 Carmel Ridge Pl Ne, Albuquerque, NM 87122-2978 Ph: (513) 800-8027 | Surya Deepika Appalla, MD 1 University Of New Mexico # 105550, Albuquerque, NM 87131-2723 Ph: (505) 272-4661 |
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