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SURYA GOURNENI MD
NPI 1174226609
Student in an Organized Health Care Education/Training Program in Elkins Park, PA

Active since March 23, 2023PECOS Enrolled
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027(215) 663-6000 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Mar 23, 2023 (2 updates tracked since 2023).

About Surya Gourneni Md NPPES

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

SURYA GOURNENI MD (NPI 1174226609) is an individual student in an organized health care education/training program in Elkins Park, Pennsylvania and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174226609
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSURYA GOURNENICredential: MD
Location Address60 TOWNSHIP LINE RDElkins Park, PA 19027-2220
Mailing Address821 Westover AveNorfolk, VA 23507-1507 · (703) 597-2629
Phone(215) 663-6000
Sole ProprietorYes
Enumeration DateMarch 23, 2023
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1174226609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
60 TOWNSHIP LINE RD, Elkins Park, PA 19027
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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)

Surya Gourneni 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.

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.

MARNIE SUE NUTKOWITZ PSYD
Clinical Neuropsychologist
60 TOWNSHIP LINE RD, MOSS REHAB
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000
MR. DAVID LOUIS WALLER JR. PA-C
Physician Assistant (Surgical)
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6800
AMBRIA REID
Nurse Anesthetist, Certified Registered
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000
AMELIA NI
Physical Medicine & Rehabilitation
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 587-3000
NV CAPITAL CARE PLLC
Internal Medicine
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (516) 304-0415
DR. MICHELLE SISSON PH.D.
Clinical Neuropsychologist
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6043
YI ZHOU MD
Physical Medicine & Rehabilitation
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6677
KELLY ANNE TIERNEY DPT
Physical Therapist
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000

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 Surya Gourneni's NPI number?

The NPI number for Surya Gourneni is 1174226609. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Surya Gourneni located?

Surya Gourneni practices at 60 Township Line Rd, Elkins Park, PA 19027. The listed phone number is (215) 663-6000.

What is Surya Gourneni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Surya Gourneni enrolled in Medicare?

Yes. Surya Gourneni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Surya Gourneni was last updated on June 28, 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.