Individual provider Active NPI

Srinivasa R Kunam, MD

  • Internal Medicine Physician
  • Lorain, OH
National Provider Identifier
1043231046
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q3718 Issued in TX
Practice address
3700 Kolbe Rd
Lorain, OH 44053
Phone
(440) 960-4000
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.088018 OH
Internal Medicine Physician 207R00000X Q3718 TX Primary

Addresses

Primary practice location

3700 Kolbe Rd
Lorain, OH 44053

Mailing address

2300 Amelia Island Path
Southlake, TX 76092
Phone (440) 319-1449

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skunam460976@direct.sw.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204000996 TX Practitioner - Internal Medicine 4981607157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8485

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.088018OHMDInternal Medicine Physician
Q3718TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Aug 6, 2018 Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Aug 6, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients

Locations

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2001 N MacArthur Blvd
Ste 520
Irving, TX 75061
Phone (972) 579-8485

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: skunam460976@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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1043231046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 AMELIA ISLAND PATH",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "440-319-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-960-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAM",
        "first_name": "SRINIVASA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.088018",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q3718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skunam460976@direct.sw.org",
            "affiliation": "N",
            "address_1": "2001 N MacArthur Blvd Ste 520",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.