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SUDHEER J. SURPURE MD, DDS
NPI 1235216185
Oral & Maxillofacial Surgery in Flagstaff, AZ

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
1600 W UNIVERSITY AVE STE 101, FLAGSTAFF, AZ 86001(928) 247-6200(702) 472-8575 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 and is a graduate of Vanderbilt University School Of Medicine (2002).

NPPES Registry Identity

NPI1235216185
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSUDHEER J. SURPURECredential: MD, DDS
Location Address1600 W UNIVERSITY AVE STE 101Flagstaff, AZ 86001-3154
Mailing Address1600 W University Ave Ste 101Flagstaff, AZ 86001-3154 · (928) 247-6200 · Fax (602) 957-3282
Phone(928) 247-6200
Fax(702) 472-8575
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2002
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1235216185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in CA · A92044✔ Licensed in AZ · 41157
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License OMS 89 (CA), OMFS SPECIALTY 157 (OK)
1600 W UNIVERSITY AVE STE 101, Flagstaff, AZ 86001
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Other Identifiers 1

Medicaid00A920440CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

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.

PECOS PAC ID3971538398
PECOS Enrollment IDI20100210000250
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

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

SUDHEER J SURPURE MD DDS INC
Oral & Maxillofacial Surgery
1600 W UNIVERSITY AVE STE 101
FLAGSTAFF, AZ 86001
Coconino County (928) 247-6200

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.

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 6 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 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.