Active NPI
Suresh Vemula, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M9074
- Practice address
- 12221 Merit Drive
Suite 910
Dallas, TX 75251 - Phone
- (469) 374-3850
- Fax
- (469) 374-3851
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD424754 | PA | |
| Hospitalist Physician | 208M00000X | MD424754 | PA | |
| Internal Medicine Physician | 207R00000X | M9074 | TX | Primary |
Addresses
Primary practice location
12221 Merit Drive
Suite 910
Dallas, TX 75251
Mailing address
12221 Merit Drive
Suite 910
Dallas, TX 75251
Phone (469) 374-3850
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02580096 | Medicaid | NY | |
| 193187501 | Medicaid | TX | |
| GU039812 | Other | PA | PA MEDICARE GROUP |
| 1010956470001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Alliance Blvd
Suite 400
Plano, TX 75093-5323
Phone (469) 814-6631
Hospital & facility affiliations
- Baylor Scott & White Medical Center Plano
- Baylor Scott & White the Heart Hospital Plano
- Baylor Scott & White Emergency Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Hospitalist Internists Associates, PLLC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Robert Packer Hospital | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients |
Locations
12221 Merit Dr
Ste 910
Dallas, TX 75251
Phone (469) 374-3850
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903
275 W Campbell Rd
Ste 260
Richardson, TX 75080
Interoperability endpoints
- svemula1168989@direct.sw.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1154378560
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Family Medicine Physician
- Troy, PA
- NPI 1376592493
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
- General Acute Care Hospital
- Aubrey, TX
- NPI 1407010622
-
- General Acute Care Hospital
- Rockwall, TX
- NPI 1407344880
-
- General Acute Care Hospital
- Colleyville, TX
- NPI 1043641749
-
- General Acute Care Hospital
- Murphy, TX
- NPI 1619308319
-
- General Acute Care Hospital
- Keller, TX
- NPI 1689002651
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1013983642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 MERIT DRIVE",
"address_2": "SUITE 910",
"city": "DALLAS",
"state": "TX",
"postal_code": "75251",
"telephone_number": "469-374-3850",
"fax_number": "469-374-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 MERIT DRIVE",
"address_2": "SUITE 910",
"city": "DALLAS",
"state": "TX",
"postal_code": "75251",
"telephone_number": "469-374-3850",
"fax_number": "469-374-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMULA",
"first_name": "SURESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD424754",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD424754",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M9074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02580096",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193187501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICARE GROUP",
"identifier": "GU039812",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010956470001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.