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MS. MIRANDA E. SURJADI NP MS
NPI 1548384365
Nurse Practitioner - Acute Care in San Francisco, CA

Active since March 19, 2007PECOS Enrolled
1001 POTRERO AVE # 3D7, SFGH GASTROENTEROLOGY, SAN FRANCISCO, CA 94110(415) 206-4776(415) 206-5199 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Miranda E. Surjadi Np Ms NPPES

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

MS. MIRANDA E. SURJADI NP MS (NPI 1548384365) is an individual acute care provider in San Francisco, California, licensed in California (NPF11790) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548384365
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. MIRANDA E. SURJADICredential: NP MS
Location Address1001 POTRERO AVE # 3D7, SFGH GASTROENTEROLOGYSan Francisco, CA 94110-3518
Mailing Address1001 Potrero Ave # 3d7, Sfgh GastroenterologySan Francisco, CA 94110-3518 · (415) 206-4776 · Fax (415) 206-5199
Phone(415) 206-4776
Fax(415) 206-5199
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1548384365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · NPF11790
Also ListedRegistered Nurse · GastroenterologyTaxonomy 163WG0100X · License RN546712 (CA)
1001 POTRERO AVE # 3D7, San Francisco, CA 94110
Open in Google Maps ↗

Other Identifiers 1

Other117390Sfgh Internal Use Only-commercial Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Miranda E. Surjadi Np Ms 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.

Medicare Billing Reassignment

Medicare enrollment records show Miranda Surjadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City & County Of San Francisco
Same address
General Acute Care Hospital
1001 POTRERO AVE, BUILDING 5, WARD 1B
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
NPI 1083648810 (415) 759-4067

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Miranda Surjadi's NPI number?

The NPI number for Miranda Surjadi is 1548384365. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Miranda Surjadi located?

Miranda Surjadi practices at 1001 Potrero Ave # 3d7 Sfgh Gastroenterology, San Francisco, CA 94110. The listed phone number is (415) 206-4776.

What is Miranda Surjadi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Miranda Surjadi enrolled in Medicare?

Yes. Miranda Surjadi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miranda Surjadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Surjadi reassigns Medicare benefits to City & County Of San Francisco (San Francisco, CA). 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 Miranda Surjadi'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 Miranda Surjadi was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.