Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amit Surapaneni

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699162776

Amit Surapaneni is a Diagnostic Radiology in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (773) 975-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 85267 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699162776
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2015
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address836 W Wellington Ave, Chicago, IL 60657-5147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chicago