DR. SURAJ JOSE MENACHERY (M.D.) – Surgery Physician, NPI 1174583470

DR. SURAJ JOSE MENACHERY (M.D.) is a healthcare provider. based in Lawrenceville, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 057892 (GA). The NPI Number for DR. SURAJ JOSE MENACHERY (M.D.) is 1174583470

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURAJ JOSE MENACHERY (M.D.)
NPI
1174583470
Phone
(770) 962-9977
Address
631 PROFESSIONAL DR STE 300
Enumeration Date
23 March 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709447818
Graduation Year
1999 (27 years ago)
PAC ID
9032198247
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20061004000326
Address ID
GA301068116AU1700XDRXX410
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for DR. SURAJ JOSE MENACHERY (M.D.)

  • Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300463371

    Phone: (770) 962-9977

    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 30 Open Payments records for all available years, with a total value of $9,134.

Total Amount is formed as General ($9,134) + Research ($0) + Ownership ($0) = $9,134.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($8,430).

Total Amount

$9,134

General + Research + Ownership

Payments

30

Total payment records

General Amount

$9,134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2006-10-04

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
I20061004000326IGeneral SurgeryGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3822$0
99213Established patient office or other outpatient visit, 20-29 minutes3523$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2726$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the registry number for DR. SURAJ JOSE MENACHERY (M.D.)?
The registry entry for DR. SURAJ JOSE MENACHERY (M.D.) shows NPI 1174583470.
Does the public listing show DR. SURAJ JOSE MENACHERY (M.D.) as active?
DR. SURAJ JOSE MENACHERY (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. SURAJ JOSE MENACHERY (M.D.)?
NPPES ties DR. SURAJ JOSE MENACHERY (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SURAJ JOSE MENACHERY (M.D.)?
The directory associates DR. SURAJ JOSE MENACHERY (M.D.) with Lawrenceville, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. SURAJ JOSE MENACHERY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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