DHAVAL SUREJA M.D.
NPI 1033434436
Internal Medicine - Nephrology in Allentown, PA

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1901 HAMILTON ST, SUITE 300, ALLENTOWN, PA 18104(610) 628-7920(610) 821-2853 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dhaval Sureja M.d. NPPES

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

DHAVAL SUREJA M.D. (NPI 1033434436) is an individual nephrology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD454304) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1033434436
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDHAVAL SUREJACredential: M.D.
Location Address1901 HAMILTON ST, SUITE 300Allentown, PA 18104-6459
Mailing Address1901 Hamilton St, Suite 300Allentown, PA 18104-6459 · (610) 628-7920 · Fax (610) 821-2853
Fax(610) 821-2853
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 30, 2010
Last NPPES UpdateJuly 22, 2015
✔ NPI 1033434436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD454304
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1901 HAMILTON ST, Allentown, PA 18104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dhaval Sureja M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082929302
PECOS Enrollment IDI20150824000042
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dhaval Sureja reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
1901 W HAMILTON ST, SUITE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Colon & Rectal Surgery
123 ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
496 services202 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
315 services222 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
115 services69 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
88 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Physical Therapist
1901 HAMILTON ST
ALLENTOWN, PA 18104
Physical Therapist
1901 HAMILTON ST
ALLENTOWN, PA 18104
Physical Therapist (Orthopedic)
1901 HAMILTON ST
ALLENTOWN, PA 18104
Physical Therapist
1901 HAMILTON ST
ALLENTOWN, PA 18104
Internal Medicine (Nephrology)
1901 HAMILTON ST, SUITE 300
ALLENTOWN, PA 18104
Physical Therapist
1901 HAMILTON ST
ALLENTOWN, PA 18104
Internal Medicine (Nephrology)
1901 HAMILTON ST, SUITE 300
ALLENTOWN, PA 18104
Physical Therapist (Orthopedic)
1901 HAMILTON ST
ALLENTOWN, PA 18104

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 Dhaval Sureja's NPI number?

The NPI number for Dhaval Sureja is 1033434436. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Dhaval Sureja located?

Dhaval Sureja practices at 1901 Hamilton St Suite 300, Allentown, PA 18104. The listed phone number is (610) 628-7920.

What is Dhaval Sureja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dhaval Sureja enrolled in Medicare?

Yes. Dhaval Sureja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dhaval Sureja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhaval Sureja reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Allentown, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Gslpg, Inc (Orwigsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dhaval Sureja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dhaval Sureja affiliated with any hospitals?

According to CMS data, Dhaval Sureja is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Dhaval Sureja was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.