Individual provider Active NPI

Kulsoom Sohail, M.D.

  • Psychiatry Physician
  • Boerne, TX
National Provider Identifier
1043884380
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
V3715 Issued in TX
Practice address
27511 Interstate 10 W BLDG 5
Boerne, TX 78006-6564
Phone
(830) 340-1100
NPI assigned
May 19, 2021
Reactivated
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X V3715 TX Primary

Addresses

Primary practice location

27511 Interstate 10 W BLDG 5
Boerne, TX 78006-6564

Mailing address

Department of Psychiatry Residency Program
7703 Floyd Curl Drive MC 7792
San Antonio, TX 78229-3900
Phone (210) 567-1601

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
I20260302001254 TX Practitioner - Psychiatry 9537641410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V3715TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Apr 19, 2026 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Apr 19, 2026 Accepting new patients

Locations

27511 Interstate 10 W
Bldg 5
Boerne, TX 78006
Phone (210) 352-5200

Interoperability endpoints

  • Direct secure messaging: ksohail34539@direct.utmsa.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1043884380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHIATRY RESIDENCY PROGRAM",
            "address_2": "7703 FLOYD CURL DRIVE MC 7792",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293900",
            "telephone_number": "210-567-1601",
            "fax_number": "210-567-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27511 INTERSTATE 10 W BLDG 5",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066564",
            "telephone_number": "830-340-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHAIL",
        "first_name": "KULSOOM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "deactivation_date": "2022-11-07",
        "reactivation_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.