Individual provider Active NPI

Deepa Suresh Nair

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053725333
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125788 Issued in TX
Practice address
7600 Beechnut St
Houston, TX 77074-4302
Phone
(832) 434-6032
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70366 NM
Family Nurse Practitioner 363LF0000X AP125788 TX Primary

Addresses

Primary practice location

7600 Beechnut St
Houston, TX 77074-4302

Mailing address

3614 Samuel Adams LN
Missouri City, TX 77459-2868
Phone (281) 670-7476

Other names 1

  • Deepa Kulathinkal Sasikumar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141112001930 TX Practitioner - Nurse Practitioner 4284856949 Reassigns benefits to 4 organizations
I20230131000558 CO Practitioner - Nurse Practitioner 4284856949 Reassigns benefits to 2 organizations
I20230213000416 KS Practitioner - Nurse Practitioner 4284856949 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Co Pacs 2 PC CurrentSince Nov 1, 2022 Accepting new patients
NM Pacs 2 LLC CurrentSince Nov 2, 2022 Accepting new patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Jul 13, 2017 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Dec 1, 2018 Accepting new patients
Bhagwat Patel , M.D.,P.a CurrentSince Oct 9, 2015 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Nov 2, 2022 Accepting new patients
Colorado Post-Acute Medical Services 1 PC CurrentSince Nov 1, 2022 Accepting new patients
New Mexico Pac Services PC CurrentSince Nov 2, 2022 Accepting new patients
Mi Pacs 2 PC Past Accepting new patients

Locations

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565

7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

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

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

1250 Creek Way Dr
Ste 100
Sugar Land, TX 77478
Phone (281) 494-1420

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 10

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1053725333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 SAMUEL ADAMS LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592868",
            "telephone_number": "281-670-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744302",
            "telephone_number": "832-434-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "DEEPA",
        "middle_name": "SURESH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "70366",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPA",
            "last_name": "SASIKUMAR",
            "middle_name": "KULATHINKAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.