DR. SURYADUTT VENKAT (MD, MPH) – Family Medicine Physician, NPI 1376700039

DR. SURYADUTT VENKAT (MD, MPH) is a healthcare provider. based in Pawtucket, Rhode Island. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MPH. They hold a License No. U5251 (TX). The NPI Number for DR. SURYADUTT VENKAT (MD, MPH) is 1376700039

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURYADUTT VENKAT (MD, MPH)
NPI
1376700039
Phone
(401) 305-7752
Address
126 PROSPECT ST STE 202
Enumeration Date
20 May 2008
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9723829292
Graduation Year
2009 (17 years ago)
PAC ID
3072648344
Group Practice PAC ID
5092750620
Professional Enrollment ID
I20230911000146
Address ID
TX750708278MC240XXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

406 FAMILY PRACTICE in RI

Provider Addresses for DR. SURYADUTT VENKAT (MD, MPH)

  • 126 PROSPECT ST STE 202

    PAWTUCKET, RI 02860

    Phone: (401) 305-7752

    Fax: (401) 305-7759

    Type: Location

  • 5575 FRISCO SQUARE BLVD STE 210

    FRISCO, TX 750343309

    Phone: (945) 800-7803

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $475.

Total Amount is formed as General ($475) + Research ($0) + Ownership ($0) = $475.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ABBVIE INC. ($127).

Total Amount

$475

General + Research + Ownership

Payments

21

Total payment records

General Amount

$475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2023-09-11

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
I20230911000146IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1916$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 02860)

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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: 5092750620View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family Practice, Geriatric MedicineTX
Internal MedicineTX
Physician AssistantTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Physician AssistantVA
Internal MedicineTX

Reviews

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Frequently asked questions

Is DR. SURYADUTT VENKAT (MD, MPH) listed with a National Provider Identifier?
Yes — DR. SURYADUTT VENKAT (MD, MPH) has NPI 1376700039 on file in the registry.
Is there an active status for DR. SURYADUTT VENKAT (MD, MPH)?
For scheduling context, DR. SURYADUTT VENKAT (MD, MPH) is shown as active in the registry.
What kind of doctor is DR. SURYADUTT VENKAT (MD, MPH)?
DR. SURYADUTT VENKAT (MD, MPH) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SURYADUTT VENKAT (MD, MPH)?
Directory geography for DR. SURYADUTT VENKAT (MD, MPH) centers on Pawtucket, Rhode Island.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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