Ghulam Mustafa Surti, MD in Providence, RI

Ghulam Mustafa Surti, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Providence, Rhode Island. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Affinity Physicians Llc., Harbor Psychiatry And Mental Health Professional Corporation and his current practice location is 345 Blackstone Blvd, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 455-6200.

Ghulam Mustafa Surti is licensed to practice in Rhode Island (license number MD09937) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861499675.

Contact Information

	Ghulam Mustafa Surti, MD
	345 Blackstone Blvd, Providence, RI 02906-4800
	(401) 455-6200
	(401) 455-6309

Map and Direction

Physician's Profile

Full Name	Ghulam Mustafa Surti
Gender	Male
Speciality	Psychiatry
Experience	34 Years
Location	345 Blackstone Blvd, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ghulam Mustafa Surti graduated from medical school in 1990

NPI Data:

NPI Number: 1861499675
Provider Enumeration Date: 07/07/2005
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1456331354
Enrollment ID: I20040721001569

Medical Identifiers

Medical identifiers for Ghulam Mustafa Surti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861499675	NPI	-	NPPES
02246624	Medicaid	NY
1104801349	Other	RI	BUTLER HOSPITAL NPI
406629	Other	RI	BLUE CHIP
GS29847	Medicaid	RI
P00362436	Other	RI	MEDICARE RAILROAD
007008181	Other	RI	MEDICARE ID-TYPE UNSPECIFIED
1093831646	Other	RI	BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
15-43150	Other	RI	UNITED BEHAVIORAL HEALTH
23998-5	Other	RI	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD09937 (Rhode Island)	Primary
2084P0805X	Psychiatry & Neurology - Geriatric Psychiatry	MD09937 (Rhode Island)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Women & Infants Hospital Of Rhode Island	Providence, RI	Hospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ghulam Mustafa Surti allows following entities to bill medicare on his behalf.

Entity Name	The Providence Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

Entity Name	Prospect Chartercare Sjhsri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928

Entity Name	Prospect Chartercare Rwmc, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672

Entity Name	Embrace Healing Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679977342 PECOS PAC ID: 8820379621 Enrollment ID: O20170111000007

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ghulam Mustafa Surti is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ghulam Mustafa Surti, MD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6200	Ghulam Mustafa Surti, MD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6200

Reviews and Comments

Psychiatry & Neurology Doctors in Providence, RI

Dr. Dana Siperstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 167 Point St, Providence, RI 02903 Phone: 401-793-8808 Fax: 401-793-8851
Giuseppe Salvatore D'amelio Iv, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 167 Point St, Providence, RI 02903 Phone: 401-793-8808
Eugenie Atallah, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-606-2645 Fax: 401-606-4386
Dr. Luisa Skoble, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119
Arnaldo A Berges, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119
Sharath Ponnappa Puttichanda, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 401-455-6346 Fax: 401-455-6532
Loreen Phyllis Carol Pirnie, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448

Ghulam Mustafa Surti, MD - Medicare Psychiatry in Providence, RI