Active NPIIndividual providerSole proprietor

Leor Surilov

Family Medicine in Westerly, Rhode Island

NPI Number1659057818
Practice location
25 Wells St, Westerly, RI 02891-2922
Fax
—
Last updated
July 8, 2026

Leor Surilov is a Family Medicine based in Westerly, RI. Leor Surilov practices in Westerly, RI. The NPI Number for Leor Surilov is 1659057818 and holds a License No. 84037 (CT). The current practice location address for Leor Surilov is 25 Wells St, Westerly, RI 02891-2922 and can be reached out via phone at 401-348-3670.

Provider Profile Details

NPI Number
1659057818
Provider Name
Leor Surilov
Provider Entity Type
Individual
Gender
Male
Address
25 Wells St, Westerly, RI 02891-2922
Phone Number
401-348-3670
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2023
Last Update Date
July 8, 2026
Certification Date
July 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Wells St
Westerly, RI 02891-2922
Zip
02891-2922
Phone Number
401-348-3670
Westerly, RI 02891Get directions →

Provider Business Mailing Address Details

Address
1643 NW 136TH Ave # H-100
Sunrise, FL 33323-3091
City
Sunrise
State
FL
Zip
33323-3091
Phone Number
954-377-2939

License Information

License State (1)
TN
Taxonomy (1)
Clinic/Center, Primary Care · 261QP2300X
License Number (2)
84037
License State (2)
CT
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leor Surilov?

The NPI number of Leor Surilov is 1659057818. It was assigned on June 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Leor Surilov?

Leor Surilov is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 84037.

Where does Leor Surilov practice?

The practice location is 25 Wells St, Westerly, RI 02891-2922. The office can be reached at 401-348-3670 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659057818 directly on the NPPES registry website.

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