DR. JONATHAN W SURDAM M.D.
NPI 1124009287
Specialist in Bloomington, IN

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
1302 S ROGERS ST, BLOOMINGTON, IN 47403(812) 333-2663(812) 676-4131 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan W Surdam M.d. NPPES

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

DR. JONATHAN W SURDAM M.D. (NPI 1124009287) is an individual specialist in Bloomington, Indiana, licensed in Indiana (01058877) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Creighton University School Of Medicine (1998).

NPPES Registry Identity

NPI1124009287
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JONATHAN W SURDAMCredential: M.D.
Location Address1302 S ROGERS STBloomington, IN 47403-4752
Mailing Address583 S Clarizz BlvdBloomington, IN 47401-5515
Fax(812) 676-4131
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1998
Enumeration DateNovember 7, 2005
Last NPPES UpdateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1124009287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IN · 01058877
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1302 S ROGERS ST, Bloomington, IN 47403

Other Identifiers 2

Medicaid200479570IN
OtherP00146258IN · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan W Surdam 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 ID1456323328
PECOS Enrollment IDI20040824000141
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.

Areas of Expertise CMS Part B claims 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
256 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
165 services141 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
103 services100 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
86 services71 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.
80 services77 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
75 services72 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers18 claims18 services$58.48 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 20

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

Durable Medical Equipment & Medical Supplies
1302 S ROGERS ST
BLOOMINGTON, IN 47403
Internal Medicine
1302 S ROGERS ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Occupational Health)
1302 S ROGERS ST
BLOOMINGTON, IN 47403
Family Medicine
1302 S ROGERS ST
BLOOMINGTON, IN 47403
Pharmacist (Ambulatory Care)
1302 S ROGERS ST
BLOOMINGTON, IN 47403
Urology
1302 S ROGERS ST
BLOOMINGTON, IN 47403
Internal Medicine (Clinical Cardiac Electrophysiology)
1302 S ROGERS ST
BLOOMINGTON, IN 47403
Physician Assistant
1302 S ROGERS ST
BLOOMINGTON, IN 47403

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 Jonathan Surdam's NPI number?

The NPI number for Jonathan Surdam is 1124009287. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Jonathan Surdam located?

Jonathan Surdam practices at 1302 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 333-2663.

What is Jonathan Surdam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jonathan Surdam enrolled in Medicare?

Yes. Jonathan Surdam 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.

What insurance does Jonathan Surdam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Jonathan Surdam 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 Jonathan Surdam affiliated with any hospitals?

According to CMS data, Jonathan Surdam is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health Paoli Hospital and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Surdam was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.