DR. DILIP SURYAVANSHI MD
NPI 1104015387
Surgery in Healdsburg, CA
About Dr. Dilip Suryavanshi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DILIP SURYAVANSHI MD (NPI 1104015387) is an individual surgery provider in Healdsburg, California, licensed in California (A112298) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Dilip Suryavanshi Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Dilip Suryavanshi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Healdsburg, CA 95448
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1720695547 (California)
- 30 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95448 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dilip Suryavanshi's NPI number?
The NPI number for Dilip Suryavanshi is 1104015387. It was assigned to this individual provider in the NPPES registry on October 23, 2007.
Where is Dilip Suryavanshi located?
Dilip Suryavanshi practices at 1540 Healdsburg Ave, Healdsburg, CA 95448. The listed phone number is (707) 473-4404.
What is Dilip Suryavanshi's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Dilip Suryavanshi enrolled in Medicare?
Yes. Dilip Suryavanshi 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 organization bills Medicare for Dilip Suryavanshi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dilip Suryavanshi reassigns Medicare benefits to Norcal Healthconnect LLC (Healdsburg, CA). The 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 Dilip Suryavanshi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dilip Suryavanshi was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Dilip Suryavanshi, MD · NPI 1104015387
Surgery physician in Healdsburg, California. Individual provider, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1104015387 (Entity type: Individual)
- **Enumerated:** October 23, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A112298 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1540 HEALDSBURG AVE, Healdsburg, CA 95448-3253
- **Phone:** (707) 473-4404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Norcal Healthconnect LLC (NPI 1205443025, Healdsburg, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** July 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104015387) · Data from the CMS NPPES public registry.