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SURAJ PATEL M.D.
NPI 1063876704
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pittsburgh, PA

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
3601 5TH AVE STE 3B, PITTSBURGH, PA 15213(412) 647-5815 Get Directions Write a Review

NPPES record last updated: May 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Suraj Patel M.d. NPPES

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

SURAJ PATEL M.D. (NPI 1063876704) is an individual endocrinology, diabetes & metabolism provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT219119) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063876704
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSURAJ PATELCredential: M.D.
Location Address3601 5TH AVE STE 3BPittsburgh, PA 15213-3403
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410 · (412) 647-5815
Phone(412) 647-5815
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 8, 2016
Last NPPES UpdateMay 2, 2021
NPPES CertifiedMay 2, 2021
✔ NPI 1063876704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MT219119
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3601 5TH AVE STE 3B, Pittsburgh, PA 15213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

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

Suraj Patel 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 ID2567794803
PECOS Enrollment IDI20210803002494, I20260324003103
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

2

Medicare enrollment records show Suraj Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Medical Group LLC
805 mi
Hematology & Oncology
125 BAPTIST WAY STE 6A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 241 clinicians in this Medicare group
NPI 1376779892 (448) 227-8053
Imc-Diagnostic And Medical Clinic LLC
812 mi
Internal Medicine
1700 SPRINGHILL AVE, SUITE 100
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 210 clinicians in this Medicare group
NPI 1447201066 (251) 435-1200

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 5

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.

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.
540 services389 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
165 services96 patients
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.
114 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
75 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.
49 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers15 claims63 services$6.57 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
2 suppliers14 claims172 services$10.95 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
2 suppliers15 claims90 services$284.21 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
2 suppliers14 claims86 services$8.14 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
2 suppliers14 claims83 services$25.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers188 claims190 services$189.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. WILLIAM REED DOERFLER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
DR. DIVYA SISTLA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-0700
MS. ERIN PATRICIA DOYLE CRNP
Nurse Practitioner (Family)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
JILLIAN ROSE HERSCHLAG MS, RD
Dietitian, Registered
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9737
ERIN E KERSHAW MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
SHAILAJA PAREPALLY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
EMILY SARAH RODAK PA-C
Physician Assistant (Medical)
3601 5TH AVE STE 3B, FALK CLINIC, SUITE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
JESSICA GRIERSON BAUER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700

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 Patel's NPI number?

The NPI number for Suraj Patel is 1063876704. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Suraj Patel located?

Suraj Patel practices at 3601 5th Ave Ste 3B, Pittsburgh, PA 15213. The listed phone number is (412) 647-5815.

What is Suraj Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Suraj Patel enrolled in Medicare?

Yes. Suraj Patel 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 Suraj Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suraj Patel reassigns Medicare benefits to 2 organizations: Baptist Medical Group LLC (Pensacola, FL) and Imc-Diagnostic And Medical Clinic LLC (Mobile, AL). 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 Suraj Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suraj Patel accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Suraj Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Suraj Patel affiliated with any hospitals?

According to CMS data, Suraj Patel is affiliated with Baptist Hospital, Gulf Breeze Hospital and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Suraj Patel was last updated on May 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.