DR. PURNA R SURAPANENI (MD) – Psychiatry Physician, NPI 1154429934

DR. PURNA R SURAPANENI (MD) is a healthcare provider. based in Grand blanc, Michigan. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 4301049717 (MI). The NPI Number for DR. PURNA R SURAPANENI (MD) is 1154429934

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. PURNA R SURAPANENI (MD)
NPI
1154429934
Phone
(810) 424-2400
Address
8435 HOLLY RD
Enumeration Date
20 September 2006
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8104281181
Graduation Year
1986 (40 years ago)
PAC ID
7214125061
Group Practice PAC ID
5890158901
Professional Enrollment ID
I20101221000941
Address ID
MI484395193GR5445XDRXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 PSYCHIATRY in MI

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Provider Addresses for DR. PURNA R SURAPANENI (MD)

  • 8435, Holly Road, Grand Blanc, Genesee County, Michigan, 48439, United States

    GRAND BLANC, MI 484391812

    Phone: (810) 424-2400

    Fax: (810) 579-7222

    Type: Mailing

  • 5445 ALI DR DEPT 320

    GRAND BLANC, MI 484395193

    Phone: (810) 428-1181

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($53).

Total Amount

$201

General + Research + Ownership

Payments

10

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2025-11-25

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
I20101221000941IPsychiatryMITBD
I20251125000155IPsychiatryFLTBD

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 minutes11347$0
99442Telephone medical discussion with physician, 11-20 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 5890158901View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
Mental Health CounselorMI
Physician AssistantMI
P S Y C H I A T R YFL
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. PURNA R SURAPANENI (MD)'s NPI?
Yes. DR. PURNA R SURAPANENI (MD) is listed with NPI 1154429934 in the public NPI dataset.
Does the file indicate DR. PURNA R SURAPANENI (MD) is practicing under active NPI?
Directory data currently reports DR. PURNA R SURAPANENI (MD) as active.
What is DR. PURNA R SURAPANENI (MD)'s primary classification?
Psychiatry Physician is the headline specialty for DR. PURNA R SURAPANENI (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PURNA R SURAPANENI (MD) on a map?
Expect Grand Blanc, Michigan as a primary anchor for DR. PURNA R SURAPANENI (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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