SURI BABU PONAMGI (MD) – Plastic Surgery Physician, NPI 1437155009

SURI BABU PONAMGI (MD) is a healthcare provider. based in Fort lee, New Jersey. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. The NPI Number for SURI BABU PONAMGI (MD) is 1437155009

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
SURI BABU PONAMGI (MD)
NPI
1437155009
Phone
(201) 224-8831
Address
1101 PALISADE AVE
Enumeration Date
28 June 2005
Last Update Date
16 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5519965045
Graduation Year
1969 (57 years ago)
PAC ID
6002831716
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20051012000242
Address ID
NJ076011915HA30XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

245 PLASTIC AND RECONSTRUCTIVE SURGERY in NJ

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Provider Addresses for SURI BABU PONAMGI (MD)

  • Palisade Avenue, Fort Lee, Bergen County, New Jersey, 07024, United States

    FORT LEE, NJ 070246329

    Phone: (201) 224-8831

    Fax: (201) 224-9278

    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 26 Open Payments records for all available years, with a total value of $389.

Total Amount is formed as General ($389) + Research ($0) + Ownership ($0) = $389.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($195).

Total Amount

$389

General + Research + Ownership

Payments

26

Total payment records

General Amount

$389

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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: 2005-10-12

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
I20051012000242IPlastic And Reconstructive SurgeryNJTBD

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 minutes5918$0
99214Established patient office or other outpatient visit, 30-39 minutes2316$0
99205New patient office or other outpatient visit, 60-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 07024)

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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: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
G A S T R O E N T E R O L O G YNJ
Physician AssistantNY
Physician AssistantNJ
General SurgeryNJ
-NJ
N E U R O L O G YNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What is the standard ID for SURI BABU PONAMGI (MD) in the U.S.?
In the U.S., SURI BABU PONAMGI (MD) is identified by NPI 1437155009.
Should I treat SURI BABU PONAMGI (MD) as an active provider?
Patients and plans typically see SURI BABU PONAMGI (MD) as active in the national extract.
How should patients interpret SURI BABU PONAMGI (MD)'s specialty?
The extract shows Plastic Surgery Physician for SURI BABU PONAMGI (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SURI BABU PONAMGI (MD)?
SURI BABU PONAMGI (MD) is associated with Fort Lee, New Jersey in the same public data insurers reference.
Can I export SURI BABU PONAMGI (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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