Suma Gudur, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P9361 Issued in TX

Practice address

1705 Cottonwood Valley Cir S
Irving, TX 75038-6212

Phone

(407) 374-3455

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lonestar Hospital Medicine Associates PAGroup PAC ID 6709049703, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Internal Medicine, TX

  Medicare reassignment Care Compare group NPD
• Suma Gudur MD PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1710410634

  TX

  Medicare reassignment Authorized official
• Synergy Emergency Consultants, PLLC

  • General Practice Physician
  • Lewisville, TX
  • NPI 1215440508

  TX

  Medicare reassignment NPD
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  NPD (past)
• East Coast Hospital Inpatient Specialists PLC

  • Specialist
  • Lake Mary, FL
  • NPI 1821078866
  NPD (past)
• Ernesto Zavaleta, MD, PA

  • Internal Medicine Physician
  • Clermont, FL
  • NPI 1649268202

  Internal Medicine

  NPD (past)
• Ez Access Docs, PA

  • Internal Medicine Physician
  • Clermont, FL
  • NPI 1194083436

  Internal Medicine

  NPD (past)

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

• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1043461585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734538",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734538",
            "telephone_number": "407-374-3455",
            "fax_number": "972-252-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COTTONWOOD VALLEY CIR S",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386212",
            "telephone_number": "407-374-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDUR",
        "first_name": "SUMA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105338",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "70391",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MAID 001423800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MCAR CL906Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gruh Medical PLLC
• Emily Robin Gruver, M.S.
• Guadalup Rehab and Pain Center PA
• Guardian Angel House Call LLC
• Sreevani Gudiseva, M.D., FHM
• Nedalee Guerrero, RBT
• Shelley J Guess, LPC
• Carla Guidry
• Maria Teresa Isidro Guillermo
• Maisyn Guillory

• All providers in Irving, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.

Verify at the official NPI Registry.