DR. DILIP SURYAVANSHI (MD) – Surgery Physician, NPI 1104015387
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,324 GENERAL SURGERY in CA
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Provider Addresses for DR. DILIP SURYAVANSHI (MD)
1540, Healdsburg Avenue, Chiquita, Healdsburg, Sonoma County, California, 95448, United States
HEALDSBURG, CA 954483253
Phone: (707) 473-4404
Fax: (707) 473-4405
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $675.
Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($321).
Total Amount
$675
General + Research + Ownership
Payments
31
Total payment records
General Amount
$675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $321 |
| MIMEDX Group, Inc. | $89 |
| Organogenesis Inc. | $69 |
| Solventum Corporation | $50 |
| OVIK Health, LLC | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-17
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101117001219 | I | General Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95448)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Sports Medicine, Orthopedic Surgery | CA | |
| Plastic And Reconstructive Surgery, General Surgery | CA | |
| Diagnostic Radiology | CA | |
| Family Practice | CA |
Reviews
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