SUDHEER J. SURPURE MD, DDS
NPI 1235216185
Oral & Maxillofacial Surgery in Flagstaff, AZ
About Sudheer J. Surpure Md, Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUDHEER J. SURPURE MD, DDS (NPI 1235216185) is an individual oral & maxillofacial surgery provider in Flagstaff, Arizona, licensed in California (A92044) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Vanderbilt University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Sudheer J. Surpure Md, Dds 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 Sudheer Surpure reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flagstaff, AZ 86001
- Reassigned Medicare billing, Arizona enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLAGSTAFF, AZ 86001
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 Sudheer Surpure's NPI number?
The NPI number for Sudheer Surpure is 1235216185. It was assigned to this individual provider in the NPPES registry on October 31, 2006.
Where is Sudheer Surpure located?
Sudheer Surpure practices at 1600 W University Ave Ste 101, Flagstaff, AZ 86001. The listed phone number is (928) 247-6200.
What is Sudheer Surpure's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Sudheer Surpure enrolled in Medicare?
Yes. Sudheer Surpure 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 Sudheer Surpure's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sudheer Surpure reassigns Medicare benefits to Sudheer J Surpure MD DDS Inc (Flagstaff, AZ). 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 Sudheer Surpure's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sudheer Surpure accept?
Health plans from BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Sudheer Surpure 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.
When was this NPI record last updated?
The NPPES record for Sudheer Surpure was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sudheer J. Surpure, MD, DDS · NPI 1235216185
Oral & Maxillofacial Surgery physician in Flagstaff, Arizona. Individual provider, active in the CMS NPPES registry since October 31, 2006.
## Identity
- **NPI:** 1235216185 (Entity type: Individual)
- **Enumerated:** October 31, 2006
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** A92044 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 W UNIVERSITY AVE STE 101, Flagstaff, AZ 86001-3154
- **Phone:** (928) 247-6200 · **Fax:** (702) 472-8575
## 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:** Sudheer J Surpure MD DDS Inc (NPI 1023609062, Flagstaff, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** October 13, 2023
- **Other identifiers:** Medicaid 00A920440 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1235216185) · Data from the CMS NPPES public registry.