NPIMap

Individual provider Active NPI

Suman Bireddy, M.D.

  • Nephrology Physician
  • Arlington, TX
National Provider Identifier
1093765299
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M3472 Issued in TX
Practice address
3125 Matlock Rd Ste 107
Arlington, TX 76015-2905
Phone
(817) 899-8109
Fax
(888) 878-5157
NPI assigned
May 11, 2006
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M3472 TX Primary

Addresses

Primary practice location

3125 Matlock Rd Ste 107
Arlington, TX 76015-2905

Mailing address

PO Box 92
Shannon, AL 35142-0092
Phone (888) 212-4243

Other practice location 1

2605 Highland Park Ct
Colleyville, TX 76034
Phone (888) 212-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000083 TX Practitioner - NephrologyPractitioner - Internal Medicine 5698679082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Specialists of North Texas PLLCGroup PAC ID 0446597850, 3 clinicians

Practice addresses (Care Compare)

500 W Main St
Lewisville, TX 75057-3629
Phone (888) 212-4243

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3472TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC CurrentSince Mar 22, 2019 Accepting new patients
Renal Specialists of North Texas PLLC Nephrology CurrentSince Jan 1, 2019 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Dallas Kidney Specialists, P.a. Nephrology Past Accepting new patients
Usrc Grand Prairie LLC PastSince Apr 1, 2021 Accepting new patients
Usrc Tarrant L P PastSince Mar 23, 2016 Accepting new patients

Locations

1000 N Cooper St
Arlington, TX 76011
Phone (817) 548-3400

3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

619 Matlock Centre Cir
Arlington, TX 76015
Phone (214) 851-1777

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

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

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

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEGBD/Endpoint/IAEGBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1093765299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "SHANNON",
            "state": "AL",
            "postal_code": "351420092",
            "telephone_number": "888-212-4243",
            "fax_number": "888-878-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD STE 107",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152905",
            "telephone_number": "817-899-8109",
            "fax_number": "888-878-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 Highland Park Ct",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "76034",
            "country_code": "US",
            "telephone_number": "888-212-4243",
            "fax_number": "888-878-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIREDDY",
        "first_name": "SUMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.