KHUSHBOO SURTI APRN, PMHNP-BC
NPI 1942815782
Nurse Practitioner - Psychiatric/Mental Health in South Windsor, CT
About Khushboo Surti Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHUSHBOO SURTI APRN, PMHNP-BC (NPI 1942815782) is an individual psychiatric/mental health provider in South Windsor, Connecticut, licensed in Connecticut (9177) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Khushboo Surti Aprn, Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Khushboo Surti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Windsor, CT 06074
- Reassigned Medicare billing, Connecticut enrollment
Bristol, CT 06010
- Reassigned Medicare billing, Connecticut enrollment
- 222 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
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 Khushboo Surti's NPI number?
The NPI number for Khushboo Surti is 1942815782. It was assigned to this individual provider in the NPPES registry on September 9, 2020.
Where is Khushboo Surti located?
Khushboo Surti practices at 925 Sullivan Ave Ste 2, South Windsor, CT 06074. The listed phone number is (860) 432-7771.
What is Khushboo Surti's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Khushboo Surti enrolled in Medicare?
Yes. Khushboo 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.
Which organizations bill Medicare for Khushboo Surti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khushboo Surti reassigns Medicare benefits to 2 organizations: Kind Compassionate Relief Kcr (South Windsor, CT) and Bristol Hospital Multi Specialty Group, Inc (Bristol, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khushboo Surti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khushboo Surti accept?
Health plans from Anthem Blue Cross and Blue Shield list Khushboo 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 Khushboo Surti was last updated on May 4, 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.
# Khushboo Surti, APRN, PMHNP-BC · NPI 1942815782
Psychiatric/Mental Health physician in South Windsor, Connecticut. Individual provider, active in the CMS NPPES registry since September 9, 2020.
## Identity
- **NPI:** 1942815782 (Entity type: Individual)
- **Enumerated:** September 9, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 9177 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 925 SULLIVAN AVE STE 2, South Windsor, CT 06074-2080
- **Phone:** (860) 432-7771 · **Fax:** (860) 432-7774
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kind Compassionate Relief Kcr (NPI 1255053971, South Windsor, CT); Bristol Hospital Multi Specialty Group, Inc (NPI 1649265679, Bristol, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942815782) · Data from the CMS NPPES public registry.