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SURESH CHALLA MD
NPI 1578711024
Hospitalist in Gilbert, AZ

Active since September 08, 2008PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
BGMC ATTN HOSPITALISTS, 1900 N HIGLEY ROAD, GILBERT, AZ 85234(480) 543-2034(480) 543-2647 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suresh Challa Md NPPES

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

SURESH CHALLA MD (NPI 1578711024) is an individual hospitalist provider in Gilbert, Arizona, licensed in Arizona (44867) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1578711024
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSURESH CHALLACredential: MD
Location AddressBGMC ATTN HOSPITALISTS, 1900 N HIGLEY ROADGilbert, AZ 85234
Mailing AddressBgmc Attn Hospitalists, 1900 N Higley RoadGilbert, AZ 85234 · (480) 543-2034 · Fax (480) 543-2647
Phone(480) 543-2034
Fax(480) 543-2647
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 8, 2008
Last NPPES UpdateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1578711024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 44867
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 44867 (AZ)
BGMC ATTN HOSPITALISTS, Gilbert, AZ 85234
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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

Suresh Challa Md 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 ID9638342371
PECOS Enrollment IDI20230627000761, I20230712002241
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
342 services121 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
249 services102 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
103 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$16.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$83.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. AMIR ETEMAD MD
Hospitalist
BGMC ATTN HOSPITALISTS, 1900 N HIGLEY RD
GILBERT, AZ 85234
Maricopa County (480) 543-2034
DR. MUTENDE J SIKUYAYENGA MD
Hospitalist
BGMC ATTN HOSPITALISTS, 1900 N HIGLEY RD
GILBERT, AZ 85234
Maricopa County (480) 543-2034
KHAWAJA FAUZIA SHUJA MD
Hospitalist
BGMC ATTN HOSPITALISTS, 1900 N HIGLEY RD
GILBERT, AZ 85234
Maricopa County (480) 543-2034

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 Suresh Challa's NPI number?

The NPI number for Suresh Challa is 1578711024. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Where is Suresh Challa located?

Suresh Challa practices at Bgmc Attn Hospitalists 1900 N Higley Road, Gilbert, AZ 85234. The listed phone number is (480) 543-2034.

What is Suresh Challa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Suresh Challa enrolled in Medicare?

Yes. Suresh Challa 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 Suresh Challa accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Suresh Challa 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.

Is Suresh Challa affiliated with any hospitals?

According to CMS data, Suresh Challa is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health, Atrium Health University City and Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Suresh Challa was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.