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SURAJ VISHASKHA PUTTANNIAH MD
NPI 1063573871
Emergency Medicine in Philadelphia, PA

Active since December 13, 2006PECOS Enrolled
85.48/100
CMS Quality Rating
700 SPRUCE STREET, PINE BASEMENT WEST, PHILADELPHIA, PA 19107(215) 829-3264(215) 829-8044 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suraj Vishaskha Puttanniah Md NPPES

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

SURAJ VISHASKHA PUTTANNIAH MD (NPI 1063573871) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD435456) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063573871
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSURAJ VISHASKHA PUTTANNIAHCredential: MD
Location Address700 SPRUCE STREET, PINE BASEMENT WESTPhiladelphia, PA 19107-6130
Mailing Address700 Spruce Street, Pine Basement WestPhiladelphia, PA 19107-6130 · (215) 829-3264 · Fax (215) 829-8044
Phone(215) 829-3264
Fax(215) 829-8044
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateMarch 3, 2014
✔ NPI 1063573871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD435456
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
700 SPRUCE STREET, Philadelphia, PA 19107
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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)

Suraj Vishaskha Puttanniah Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

COURTNEY E SOWERS PA-C
Physician Assistant (Medical)
700 SPRUCE STREET, PINE BASEMENT WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264
MELISSA M NELSON M.D.
Emergency Medicine
700 SPRUCE STREET, PINE BASEMENT WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264
DR. ARTHUR F WANG M.D.
Emergency Medicine
700 SPRUCE STREET, PINE BASEMENT WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264
KEVIN MICHAEL BAUMLIN MD
Emergency Medicine
700 SPRUCE STREET, 1 PINE WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264
CHRISTOPHER J REES MD
Emergency Medicine
700 SPRUCE STREET, PINE BASEMENT WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264
KATHERINE YING JENQ MD
Emergency Medicine
700 SPRUCE STREET, PINE BASEMENT WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264
MATTHEW R REID MD
Emergency Medicine
700 SPRUCE STREET, PINE BASEMENT WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264
DR. AMIRA MUNAS BASS MD
Emergency Medicine
700 SPRUCE STREET, PINE BASEMENT WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3264

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 Suraj Puttanniah's NPI number?

The NPI number for Suraj Puttanniah is 1063573871. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Suraj Puttanniah located?

Suraj Puttanniah practices at 700 Spruce Street Pine Basement West, Philadelphia, PA 19107. The listed phone number is (215) 829-3264.

What is Suraj Puttanniah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Suraj Puttanniah enrolled in Medicare?

Yes. Suraj Puttanniah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suraj Puttanniah was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.