RYAN TEMAL SURUJDIN
NPI 1821678376
Family Medicine in Keller, TX

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
620 S MAIN ST STE 240, KELLER, TX 76248(817) 912-8150 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2024, Jul 3, 2024, Apr 13, 2021 and 1 more (4 updates tracked since 2021).

About Ryan Temal Surujdin NPPES

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

RYAN TEMAL SURUJDIN (NPI 1821678376) is an individual family medicine provider in Keller, Texas, licensed in Texas (U8830) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821678376
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRYAN TEMAL SURUJDIN
Location Address620 S MAIN ST STE 240Keller, TX 76248-5009
Mailing Address620 S Main St Ste 240Keller, TX 76248-5009 · (817) 912-8150
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateDecember 26, 20244 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
NPI 1821678376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · U8830
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

620 S MAIN ST STE 240, Keller, TX 76248

Accepted 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

Ryan Temal Surujdin 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 ID5496296923
PECOS Enrollment IDI20240924001425
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76248 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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.

Nurse Practitioner (Family)
620 S MAIN ST STE 240
KELLER, TX 76248
Family Medicine
620 S MAIN ST STE 240
KELLER, TX 76248

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 Ryan Surujdin's NPI number?

The NPI number for Ryan Surujdin is 1821678376. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Ryan Surujdin located?

Ryan Surujdin practices at 620 S Main St Ste 240, Keller, TX 76248. The listed phone number is (817) 912-8150.

What is Ryan Surujdin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ryan Surujdin enrolled in Medicare?

Yes. Ryan Surujdin 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 Ryan Surujdin accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Ryan Surujdin 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 Ryan Surujdin affiliated with any hospitals?

According to CMS data, Ryan Surujdin is affiliated with Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Ryan Surujdin was last updated on December 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.