SURAJ KRISHAN FNP-C
NPI 1336919042
Nurse Practitioner - Family in Riverside, CA

Active since January 03, 2024PECOS EnrolledAccepts Medicare Assignment
12415 BRIANWOOD DR, RIVERSIDE, CA 92503(951) 858-7730 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suraj Krishan Fnp-c NPPES

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

SURAJ KRISHAN FNP-C (NPI 1336919042) is an individual family provider in Riverside, California, licensed in California (F11230510) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336919042
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSURAJ KRISHANCredential: FNP-C
Location Address12415 BRIANWOOD DRRiverside, CA 92503-6754
Mailing Address12415 Brianwood DrRiverside, CA 92503-6754 · (951) 858-7730
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1336919042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · F11230510
12415 BRIANWOOD DR, Riverside, CA 92503

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

Suraj Krishan Fnp-c 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 ID7618400797
PECOS Enrollment IDI20241028003018
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Suraj Krishan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
3480 LA SIERRA AVE
Riverside, CA 92503
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group
Emergency Medicine
3865 JACKSON ST
Riverside, CA 92503
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
Emergency Medicine
1111 W LA PALMA AVE
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 43 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.

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.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
12415 BRIANWOOD DR
RIVERSIDE, CA 92503

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 Suraj Krishan's NPI number?

The NPI number for Suraj Krishan is 1336919042. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Suraj Krishan located?

Suraj Krishan practices at 12415 Brianwood Dr, Riverside, CA 92503. The listed phone number is (951) 858-7730.

What is Suraj Krishan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Suraj Krishan enrolled in Medicare?

Yes. Suraj Krishan 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 organizations bill Medicare for Suraj Krishan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suraj Krishan reassigns Medicare benefits to 3 organizations: Southern California Emergency Medicine (Riverside, CA), Riverside Emergency Physicians Medical Group (Riverside, CA) and Anaheim Emergency Medical Group (Anaheim, CA). 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 Suraj Krishan'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 Suraj Krishan was last updated on January 3, 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.