SURAJ TRIVEDI (M.D) – Critical Care Medicine (Anesthesiology) Physician, NPI 1699057885

SURAJ TRIVEDI (M.D) is a healthcare provider. based in Jacksonville, Florida. specializing in CRITICAL CARE (INTENSIVISTS), ANESTHESIOLOGY, ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D. They hold a License No. A122196 (CA). The NPI Number for SURAJ TRIVEDI (M.D) is 1699057885

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
SURAJ TRIVEDI (M.D)
NPI
1699057885
Phone
(619) 750-1828
Address
2005 knight lane blg H
Enumeration Date
13 September 2011
Last Update Date
2 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9096258307
Graduation Year
2011 (15 years ago)
PAC ID
3577870096
Group Practice PAC ID
6305101510
Professional Enrollment ID
I20191227001556
Address ID
CA917632326MO5000XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

Provider Addresses for SURAJ TRIVEDI (M.D)

  • 2005 knight lane blg H

    navy medicine support command, staff services

    jacksonville, FL 32212

    Phone: (619) 750-1828

    Type: Location

  • 200 W ARBOR DR

    SAN DIEGO, CA 92103

    Phone: (800) 926-8273

    Type: Location

  • PO BOX 232410

    SAN DIEGO, CA 921932410

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191227001556IAnesthesiologyCATBD
I20211214000488ICritical Care (Intensivists)DCTBD

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
99291Critical care, first 30-74 minutes2411$0
View full utilization report →

Insurance plans in this area (ZIP 32212)

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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: 6305101510View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Anesthesiology, Critical Care (Intensivists)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

How is SURAJ TRIVEDI (M.D) identified in CMS data?
CMS-hosted NPPES data lists SURAJ TRIVEDI (M.D) with NPI 1699057885.
Is SURAJ TRIVEDI (M.D) listed as active for patients and plans?
The listing shows SURAJ TRIVEDI (M.D) as active in the NPI system.
What is SURAJ TRIVEDI (M.D)'s specialty?
The listing groups SURAJ TRIVEDI (M.D) with Critical Care Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SURAJ TRIVEDI (M.D) on a map?
Expect Jacksonville, Florida as a primary anchor for SURAJ TRIVEDI (M.D) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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