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AMULYA REDDY SURAKANTI DO
NPI 1003619677
Student in an Organized Health Care Education/Training Program in Dunn, NC

Active since March 29, 2025PECOS Enrolled
802 TILGHMAN DR, DUNN, NC 28334(910) 766-7711 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amulya Reddy Surakanti Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMULYA REDDY SURAKANTI DO (NPI 1003619677) is an individual student in an organized health care education/training program in Dunn, North Carolina and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003619677
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMULYA REDDY SURAKANTICredential: DO
Location Address802 TILGHMAN DRDunn, NC 28334-5510
Mailing Address802 Tilghman DrDunn, NC 28334-5510
Phone(910) 766-7711
Sole ProprietorNo
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
✔ NPI 1003619677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
802 TILGHMAN DR, Dunn, NC 28334
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amulya Reddy Surakanti Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINA VICTORIA RAVICHANDRAN MD
Student in an Organized Health Care Education/Training Program
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7711
HARNETT HEALTH SYSTEM INC
Pediatrics
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-4248
DR. NKIRUKA LAURETTA NWANGENE MD
Student in an Organized Health Care Education/Training Program
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7711
MITCHELL EDWARD VAN ALLEN DO
Student in an Organized Health Care Education/Training Program
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7711
ZACHARY ROLAND
Student in an Organized Health Care Education/Training Program
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7711
DR. SUNNY PATEL MD
Student in an Organized Health Care Education/Training Program
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7711
DR. MARSHA YOLANDA RUSSELL MD
Pediatrics
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-4248
DR. GOPAL KUMAR YADAV
Student in an Organized Health Care Education/Training Program
802 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amulya Surakanti's NPI number?

The NPI number for Amulya Surakanti is 1003619677. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Amulya Surakanti located?

Amulya Surakanti practices at 802 Tilghman Dr, Dunn, NC 28334. The listed phone number is (910) 766-7711.

What is Amulya Surakanti's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amulya Surakanti enrolled in Medicare?

Yes. Amulya Surakanti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amulya Surakanti was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.