ANURADHA SURYA DEVARA (PA) – Physician Assistant, NPI 1366942096

ANURADHA SURYA DEVARA (PA) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.005443RX (OH). The NPI Number for ANURADHA SURYA DEVARA (PA) is 1366942096

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANURADHA SURYA DEVARA (PA)
NPI
1366942096
Phone
(937) 208-4200
Address
30 E APPLE ST STE 5254A
Enumeration Date
19 February 2018
Last Update Date
8 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375231461
Graduation Year
2017 (9 years ago)
PAC ID
6305109927
Group Practice PAC ID
5991188286
Professional Enrollment ID
I20180412002999
Address ID
OH455042687SP100XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for ANURADHA SURYA DEVARA (PA)

  • East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    DAYTON, OH 454092939

    Phone: (937) 208-4200

    Fax: (937) 208-4205

    Type: Location

  • 1 Medical Center Dr Fl 3

    Middletown, OH 450052584

    Phone: (513) 974-5197

    Fax: (513) 974-5005

    Type: Location

  • 2400 Miami Valley Dr

    Centerville, OH 454594774

    Phone: (937) 208-8394

    Fax: (937) 208-8388

    Type: Location

  • 3170, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States

    BLDG B 3RD FLOOR

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($34).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2018-04-12

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
I20180412002999IPhysician AssistantOHTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7453$0
99291Critical care, first 30-74 minutes6336$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 45409)

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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: 5991188286View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal Medicine, Critical Care (Intensivists)OH
Nurse PractitionerOH
Pulmonary Disease, Internal Medicine, Sleep MedicineIN
Nurse PractitionerPA
Internal MedicineNJ
Internal MedicineMD
Nurse PractitionerOH
Internal MedicineOK

Reviews

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Frequently asked questions

Where can patients find ANURADHA SURYA DEVARA (PA)'s NPI?
You can confirm ANURADHA SURYA DEVARA (PA) with NPI 1366942096; it appears in the national provider directory.
Is ANURADHA SURYA DEVARA (PA)'s NPI currently valid?
The extract we use shows ANURADHA SURYA DEVARA (PA) as active.
What field does ANURADHA SURYA DEVARA (PA) work in?
You can think of ANURADHA SURYA DEVARA (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for ANURADHA SURYA DEVARA (PA)?
We surface Dayton, Ohio for ANURADHA SURYA DEVARA (PA) based on available NPPES addresses.
Is ANURADHA SURYA DEVARA (PA) a real provider?
This page reflects official NPPES data for NPI 1366942096. Always confirm identity and privileges with the practice and licensing boards.

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