Individual Healthcare Provider
Sudheer J. Surpure, MD, DDS
Provider's NPPES record last updated: October 13, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1235216185
- Primary Specialty
- Oral & Maxillofacial Surgery
- Practice Location
- Flagstaff, Arizona
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Oral & Maxillofacial Surgery
Allopathic & Osteopathic Physicians
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Taxonomy code 204E00000X Dentist
Oral and Maxillofacial Surgery
Dental Providers
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Taxonomy code 1223S0112X
Provider-Reported License Information
- Oral & Maxillofacial Surgery (California)
- A92044
- Dentist (California)
- OMS 89
- Dentist (Oklahoma)
- OMFS SPECIALTY 157
- Oral & Maxillofacial Surgery (Arizona)
- 41157
Practice Locations
Practice Location
1600 W University Ave Ste 101
Flagstaff, Arizona 86001-3154
Phone: (928) 247-6200
Additional Practice Location
1600 W Sunset Rd Ste B
Henderson, Nevada 89014-2655
Phone: (702) 992-7907
Record Information
- Enumeration Date
- October 31, 2006
- Provider's NPPES Record Last Updated
- October 13, 2023
- Certification Date
- October 13, 2023
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue