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

Dr. Purna R Surapaneni, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1154429934

Dr. Purna R Surapaneni, MD is a Psychiatry in Grand Blanc, Michigan. Qualified in 1986, 40 years ago. Practices with Cognosis Health Hillside, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
40
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193
Phone: (810) 428-1181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301049717 (MI)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 4301049717 (MI)

Record details

NPI number1154429934
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Cognosis Health Hillside — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grand Blanc