SURENDRA KOLLA (MD) – Urology Physician, NPI 1194952143

SURENDRA KOLLA (MD) is a healthcare provider. based in Wichita, Kansas. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 04-37597 (KS). The NPI Number for SURENDRA KOLLA (MD) is 1194952143

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SURENDRA KOLLA (MD)
NPI
1194952143
Phone
(316) 689-9185
Address
3311 E MURDOCK ST
Enumeration Date
17 June 2009
Last Update Date
7 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
5597086819
Group Practice PAC ID
7214904499
Professional Enrollment ID
I20150626001035
Address ID
KS672268110Wi2626XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

109 UROLOGY in KS

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Provider Addresses for SURENDRA KOLLA (MD)

  • 3311, East Murdock Street, Wichita, Sedgwick County, Kansas, 67208, United States

    WICHITA, KS 672083054

    Phone: (316) 689-9185

    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 12 Open Payments records for all available years, with a total value of $648.

Total Amount is formed as General ($648) + Research ($0) + Ownership ($0) = $648.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: C. R. Bard, Inc. & Subsidiaries ($195).

Total Amount

$648

General + Research + Ownership

Payments

12

Total payment records

General Amount

$648

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

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: 2015-06-26

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
I20150626001035IUrologyKSTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,34015$0
99213Established patient office or other outpatient visit, 20-29 minutes395325$0
81003Automated urinalysis test279201$0
51798Ultrasound measurement of bladder capacity after voiding218178$0
99214Established patient office or other outpatient visit, 30-39 minutes208165$0
View full utilization report →

Insurance plans in this area (ZIP 67208)

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Provider's Procedures

SURENDRA KOLLA (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYKS51798Ultrasound measurement of bladder capacity after voiding11882

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: 7214904499View full group profile
NameSpecialtyState
U R O L O G YIN
Nurse PractitionerKS
-KS
U R O L O G YKS
Nurse PractitionerKS
Physician AssistantKS
U R O L O G YKS
Physician AssistantKS
U R O L O G YKS
U R O L O G YKS

Reviews

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Frequently asked questions

What NPI should I save for SURENDRA KOLLA (MD)?
Save NPI 1194952143 if you need a stable reference for SURENDRA KOLLA (MD).
Is SURENDRA KOLLA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SURENDRA KOLLA (MD) list a primary specialty?
If you are matching referrals, note Urology Physician for SURENDRA KOLLA (MD). Clinical services aligned with this taxonomy classification.
Does SURENDRA KOLLA (MD) practice in Kansas?
You will see Wichita, Kansas on file for SURENDRA KOLLA (MD) alongside any extra practice locations.
How can I contact SURENDRA KOLLA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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