Kawanjit Surapur, MD - Medicare Internal Medicine in Conyers, GA

Kawanjit Surapur, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Conyers, Georgia. She went to Wayne State University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Piedmont Providers Llc, Piedmont Specialty Hospital Billing Llc and her current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 350-0009.

Kawanjit Surapur is licensed to practice in Georgia (license number 88548) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093120768.

Contact Information

Kawanjit Surapur, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877
(404) 350-0009
Not Available

Map and Direction




Physician's Profile

Full NameKawanjit Surapur
GenderFemale
SpecialityInternal Medicine
Experience10 Years
Location1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kawanjit Surapur attended and graduated from Wayne State University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1093120768
  • Provider Enumeration Date: 06/21/2014
  • Last Update Date: 07/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658697248
  • Enrollment ID: I20210819002992

Medical Identifiers

Medical identifiers for Kawanjit Surapur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093120768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R74538 (Arizona)Secondary
207R00000XInternal Medicine 55148 (Arizona)Secondary
207RC0200XInternal Medicine - Critical Care Medicine R74538 (Arizona)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 88548 (Georgia)Primary
207RP1001XInternal Medicine - Pulmonary Disease R74538 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Rockdale HospitalConyers, GAHospital
Piedmont Newton HospitalCovington, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Providers Llc9830082825371
Piedmont Specialty Hospital Billing Llc4183986490179

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. Kawanjit Surapur allows following entities to bill medicare on her behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NamePiedmont Specialty Hospital Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699290510
PECOS PAC ID: 4183986490
Enrollment ID: O20180327001180

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. Kawanjit Surapur 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 AddressPractice Location Address
Kawanjit Surapur, MD
1501 N Campbell Ave, 6th Floor, Room 6336,
Tucson, AZ 85724-5040

Ph: (520) 626-2761
Kawanjit Surapur, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877

Ph: (404) 350-0009

Reviews and Comments


Internal Medicine Doctors in Conyers, GA

Dr. Sitharam Chowdary Nandigam, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012
Phone: 678-413-3261    Fax: 678-413-3580
Marshall David Almand, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Well Brook Circle, Conyers, GA 30012
Phone: 770-922-3023    Fax: 770-929-1016
Dr. Ekundayo Adedapo Falase, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012
Phone: 678-413-3261    Fax: 678-413-3580
Dr. Nikky Keer, D.O.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    
Mr. Richard Carter, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094
Phone: 770-761-7260    Fax: 678-413-1818
Osarenomase Egharevba, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.