JOHAN SUYDERHOUD – Anesthesiology Physician, NPI 1013917855
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,467 ANESTHESIOLOGY in NC
Provider Addresses for JOHAN SUYDERHOUD
PO BOX 504407
SAINT LOUIS, MO 631504407
Phone: (816) 932-7940
Type: Mailing
MEDICAL CENTER BLVD
WINSTON SALEM, NC 271570001
Phone: (336) 716-2255
Fax: (336) 716-3202
Type: Mailing
4401, Wornall Road, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States
KANSAS CITY, MO 641113220
Phone: (816) 932-7940
Type: Location
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: 2021-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210806001579 | I | Anesthesiology | NC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 24 | 24 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 13 | 13 | $0 |
| 00732 | Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63150)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MO | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | NC | |
| P O D I A T R Y | NC | |
| - | NC | |
| A N E S T H E S I O L O G Y | MI | |
| - | NC | |
| H O S P I T A L I S T | NC | |
| Orthopedic Surgery | TX | |
| Physician Assistant | NC |
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