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KAVITA SURYADEVARA PA-C
NPI 1619518628
Physician Assistant in Syracuse, NY

Active since October 01, 2019PECOS Enrolled
101 RICHMOND AVE STE 320, SYRACUSE, NY 13204(315) 254-2030 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, May 13, 2020, Oct 1, 2019 (3 updates tracked since 2019).

About Kavita Suryadevara Pa-c NPPES

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

KAVITA SURYADEVARA PA-C (NPI 1619518628) is an individual physician assistant in Syracuse, New York and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619518628
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAVITA SURYADEVARACredential: PA-C
Location Address101 RICHMOND AVE STE 320Syracuse, NY 13204-2298
Mailing Address90 Presidential Plz Fl 2Syracuse, NY 13202-2240 · (315) 464-3833
Phone(315) 254-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 1, 2019
Last NPPES UpdateMarch 8, 20243 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
✔ NPI 1619518628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 RICHMOND AVE STE 320, Syracuse, NY 13204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kavita Suryadevara Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173958337
PECOS Enrollment IDI20200115002610
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13204 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 2

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

SYRACUSE OTOLARYNGOLOGY PLLC
Otolaryngology
101 RICHMOND AVE STE 320
SYRACUSE, NY 13204
Onondaga County (315) 254-2030
PARUL GOYAL M.D.
Otolaryngology
101 RICHMOND AVE STE 320
SYRACUSE, NY 13204
Onondaga County (315) 254-2030

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 Kavita Suryadevara's NPI number?

The NPI number for Kavita Suryadevara is 1619518628. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Kavita Suryadevara located?

Kavita Suryadevara practices at 101 Richmond Ave Ste 320, Syracuse, NY 13204. The listed phone number is (315) 254-2030.

What is Kavita Suryadevara's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kavita Suryadevara enrolled in Medicare?

Yes. Kavita Suryadevara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kavita Suryadevara was last updated on March 8, 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.