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SHERLYANA SURJA M.D.
NPI 1972890028
Allergy & Immunology in Toledo, OH

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
88.92/100
CMS Quality Rating
3125 TRANSVERSE DR STE D, TOLEDO, OH 43614(419) 383-3660 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2024, May 29, 2020 (2 updates tracked since 2020).

About Sherlyana Surja M.d. NPPES

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

SHERLYANA SURJA M.D. (NPI 1972890028) is an individual allergy & immunology provider in Toledo, Ohio, licensed in Ohio (35-148878) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972890028
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameSHERLYANA SURJACredential: M.D.
Location Address3125 TRANSVERSE DR STE DToledo, OH 43614-8008
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595 · (419) 383-5023 · Fax (419) 383-6235
Phone(419) 383-3660
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 8, 2011
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1972890028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in OH · 35-148878
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 125060551 (IL)
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 4301113303 (MI), 35.148878 (OH)
3125 TRANSVERSE DR STE D, Toledo, OH 43614
Open in Google Maps ↗

Secondary Practice Locations 3

Location 143200 Dequindre Rd Ste 1Sterling Heights, MI 48314-1707 · Phone (586) 323-2600
Location 21901 W Harrison StChicago, IL 60612-3714 · Phone (312) 864-6000
Location 33600 W 13 Mile RdRoyal Oak, MI 48073-6711 · Phone (248) 549-0777 · Fax (248) 549-5888

Other Identifiers 1

Medicaid0039224OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sherlyana Surja M.d. 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 ID4486945136
PECOS Enrollment IDI20240325003176
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sherlyana Surja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Toledo Physicians, LLC
0.1 mi
Sports Medicine
3000 ARLINGTON AVE
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 522 clinicians in this Medicare group
NPI 1215240676 (419) 383-3761
Allergy & Asthma Associates Of Mi PC
66 mi
Allergy & Immunology
3600 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1871526459 (248) 549-0777

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 4

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.

Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
127 services11 patients
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.
57 services34 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.
27 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

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.

88.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost53.6

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%59 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%59 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%83 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers23 claims95 services$18.39 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$3.22 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
3 suppliers15 claims15 services$12.43 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
3 suppliers23 claims8,250 services$9.50 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
4 suppliers31 claims218 services$2.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SAMANTHA ELIZABETH DAVIS
Internal Medicine
3125 TRANSVERSE DR STE D
TOLEDO, OH 43614
Lucas County (419) 383-6900
ADAM UPDEGRAFF DO
Allergy & Immunology
3125 TRANSVERSE DR STE D
TOLEDO, OH 43614
Lucas County (419) 383-3660
SABEEN SIDIKI MD
Internal Medicine (Rheumatology)
3125 TRANSVERSE DR STE D
TOLEDO, OH 43614
Lucas County (419) 383-6900

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 Sherlyana Surja's NPI number?

The NPI number for Sherlyana Surja is 1972890028. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Sherlyana Surja located?

Sherlyana Surja practices at 3125 Transverse Dr Ste D, Toledo, OH 43614. The listed phone number is (419) 383-3660.

What is Sherlyana Surja's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Sherlyana Surja enrolled in Medicare?

Yes. Sherlyana Surja 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 Sherlyana Surja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sherlyana Surja reassigns Medicare benefits to 2 organizations: University Of Toledo Physicians, LLC (Toledo, OH) and Allergy & Asthma Associates Of Mi PC (Royal Oak, MI). 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 Sherlyana Surja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sherlyana Surja accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Sherlyana Surja 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 Sherlyana Surja affiliated with any hospitals?

According to CMS data, Sherlyana Surja is affiliated with University Of Toledo Medical Center and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Sherlyana Surja was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.