SURJIT K ATHWAL JOHAL (MD) – Internal Medicine Physician, NPI 1679586044

SURJIT K ATHWAL JOHAL (MD) is a healthcare provider. based in Coral springs, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME004155 (FL). The NPI Number for SURJIT K ATHWAL JOHAL (MD) is 1679586044

Main info

Female
Sole Proprietor
61 Years Of Experience
Accepts Medicare Assignment
Name
SURJIT K ATHWAL JOHAL (MD)
NPI
1679586044
Phone
(954) 644-6453
Address
3704 HIGH PINE DR
Enumeration Date
15 August 2006
Last Update Date
16 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547023402
Graduation Year
1965 (61 years ago)
PAC ID
8123062346
Group Practice PAC ID
7214901586
Professional Enrollment ID
I20050617000352
Address ID
FL330661600CO3850XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for SURJIT K ATHWAL JOHAL (MD)

  • 3704, High Pine Drive, Coral Springs, Broward County, Florida, 33065, United States

    CORAL SPRINGS, FL 330656012

    Phone: (954) 644-6453

    Type: Mailing

  • 1487, Lyons Road, Coconut Creek Park, Coconut Creek, Broward County, Florida, 33063, United States

    COCONUT CREEK, FL 330633934

    Phone: (954) 973-9222

    Fax: (954) 973-7135

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,364.

Total Amount is formed as General ($1,364) + Research ($0) + Ownership ($0) = $1,364.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($452).

Total Amount

$1,364

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-17

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050617000352IInternal MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9858$0
99214Established patient office or other outpatient visit, 30-39 minutes3220$0
36415Insertion of needle into vein for collection of blood sample2624$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
G0444Annual depression screening, 5 to 15 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 33065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214901586View full group profile

Reviews

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Frequently asked questions

How is SURJIT K ATHWAL JOHAL (MD) identified in CMS data?
CMS-hosted NPPES data lists SURJIT K ATHWAL JOHAL (MD) with NPI 1679586044.
Is SURJIT K ATHWAL JOHAL (MD) listed as active for patients and plans?
The listing shows SURJIT K ATHWAL JOHAL (MD) as active in the NPI system.
What healthcare role does SURJIT K ATHWAL JOHAL (MD) hold?
Scheduling teams often label SURJIT K ATHWAL JOHAL (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SURJIT K ATHWAL JOHAL (MD)?
SURJIT K ATHWAL JOHAL (MD)'s geographic hint is Coral Springs, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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