GAURAV SANJAY SURYAWANSHI MD
NPI 1164042446
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Gaurav Sanjay Suryawanshi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAURAV SANJAY SURYAWANSHI MD (NPI 1164042446) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gaurav Sanjay Suryawanshi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Gaurav Suryawanshi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 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
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.
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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Gaurav Suryawanshi's NPI number?
The NPI number for Gaurav Suryawanshi is 1164042446. It was assigned to this individual provider in the NPPES registry on April 16, 2020.
Where is Gaurav Suryawanshi located?
Gaurav Suryawanshi practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-8999.
What is Gaurav Suryawanshi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Gaurav Suryawanshi enrolled in Medicare?
Yes. Gaurav Suryawanshi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gaurav Suryawanshi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gaurav Suryawanshi reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). 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 Gaurav Suryawanshi'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 Gaurav Suryawanshi was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gaurav Sanjay Suryawanshi, MD · NPI 1164042446
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 16, 2020.
## Identity
- **NPI:** 1164042446 (Entity type: Individual)
- **Enumerated:** April 16, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 420 DELAWARE ST SE, Minneapolis, MN 55455-0341
- **Phone:** (612) 625-8999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164042446) · Data from the CMS NPPES public registry.