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SURINDAR K JOLLY M.D. NPI 1164479911


NPI Information

NPI: 1164479911
Provider Name: SURINDAR K JOLLY, M.D.
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Individual

Specialization: Vascular Neurology

PECOS Registration: Yes

Address:
4020 VENOY RD
STE#800
WAYNE, MI
ZIP 48184
Phone: (734) 721-6001
Get Directions

Surindar K Jolly, M.D. is a vascular neurology psychiatry neurology in Wayne, MI with 47 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. Surindar K Jolly, M.D. NPI is 1164479911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4020 VENOY RD
STE#800
WAYNE, MI
ZIP 48184-869
Phone: (734) 721-6001
Fax: (734) 721-6003

The NPI 1164479911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)
  • Nerve transmission studies, 9-10 studies (HCPCS:95911)

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084V0102XPsychiatry & NeurologyVascular Neurology055782MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11308261622OTHERMICHIGANBLUE CROSS BLUE SHIELD
2Q26468001MEDICARE PINMICHIGAN
32918602MEDICAIDMICHIGAN
41308209371OTHERMICHIGANBLUE CROSS BLUE SHIELD
5E53209MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.