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GHULAM MUSTAFA SURTI MD
NPI 1861499675
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6200(401) 455-6309 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ghulam Mustafa Surti Md NPPES

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

GHULAM MUSTAFA SURTI MD (NPI 1861499675) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD09937) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1861499675
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGHULAM MUSTAFA SURTICredential: MD
Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800
Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6200 · Fax (401) 455-6309
Phone(401) 455-6200
Fax(401) 455-6309
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 7, 2005
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1861499675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in RI · MD09937
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License MD09937 (RI)
345 BLACKSTONE BLVD, Providence, RI 02906
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Other Identifiers 9

Medicaid02246624NY
Other1104801349RI · Butler Hospital Npi
Other406629RI · Blue Chip
MedicaidGS29847RI
OtherP00362436RI · Medicare Railroad
Other007008181RI · Medicare Id-type Unspecified
Other1093831646RI · Butler Hospital Professional Billing Office
Other15-43150RI · United Behavioral Health
Other23998-5RI · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Ghulam Mustafa Surti 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 ID1456331354
PECOS Enrollment IDI20040721001569, I20210714003735
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
174 services46 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
55 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services12 patients
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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 20

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

KEVIN E. BAILL MD & ASSOCIATES, LLC
Clinic/Center
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (917) 447-2138
SHARATH PONNAPPA PUTTICHANDA
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6346
MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.
Social Worker (Clinical)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 225-2044
BRITTANY CATHERINE DAWSON FNP-BC
Nurse Practitioner (Family)
345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906
Providence County (401) 455-6403
CYNTHIA CHEN YANG MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6373
DR. MICAH BENJAMIN DUGGINS-WARF MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (716) 803-9249
KATHARINE ANNE PHILLIPS MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200
LISA BRAFF SHEA MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200

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 Ghulam Surti's NPI number?

The NPI number for Ghulam Surti is 1861499675. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Ghulam Surti located?

Ghulam Surti practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6200.

What is Ghulam Surti's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ghulam Surti enrolled in Medicare?

Yes. Ghulam Surti 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 Ghulam Surti accept?

Health plans from Harvard Pilgrim Health Care list Ghulam Surti 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.

When was this NPI record last updated?

The NPPES record for Ghulam Surti was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.