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SURAJ JAIPALLI MD
NPI 1790535839
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 22, 2024PECOS Enrolled
4201 ST. ANTOINE BLVD, 9C UHC, DETROIT, MI 48201(313) 745-3433 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 6, 2025, Jun 13, 2024 (2 updates tracked since 2024).

About Suraj Jaipalli Md NPPES

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

SURAJ JAIPALLI MD (NPI 1790535839) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790535839
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSURAJ JAIPALLICredential: MD
Location Address4201 ST. ANTOINE BLVD, 9C UHCDetroit, MI 48201-2153
Mailing Address4201 St. Antoine Blvd, 9c UhcDetroit, MI 48201-2153 · (313) 745-3433
Phone(313) 745-3433
Sole ProprietorNo
Enumeration DateMarch 22, 2024
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1790535839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 ST. ANTOINE BLVD, Detroit, MI 48201
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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)

Suraj Jaipalli Md 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.

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 Jaipalli's NPI number?

The NPI number for Suraj Jaipalli is 1790535839. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Suraj Jaipalli located?

Suraj Jaipalli practices at 4201 St. Antoine Blvd 9C Uhc, Detroit, MI 48201. The listed phone number is (313) 745-3433.

What is Suraj Jaipalli's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Suraj Jaipalli enrolled in Medicare?

Yes. Suraj Jaipalli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suraj Jaipalli was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.