SURJO BANDYOPADHYAY MD
NPI 1811787211
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 08, 2025PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 793-2695(401) 444-4165 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Surjo Bandyopadhyay Md NPPES

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

SURJO BANDYOPADHYAY MD (NPI 1811787211) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811787211

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSURJO BANDYOPADHYAYCredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 793-2695 · Fax (401) 444-4165

Phone(401) 793-2695

Fax(401) 444-4165

Sole ProprietorNo

Enumeration DateMay 8, 2025

NPPES CertifiedMay 8, 2025

✔ NPI 1811787211 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.

593 EDDY ST, Providence, RI 02903

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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)

Surjo Bandyopadhyay 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.