Suman Bireddy, M.D.
Individual provider Active NPI Nephrology Physician · Arlington, TX
NPI 1093765299 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1093765299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- M3472 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renal Specialists of North Texas PLLC
Practice addresses (Care Compare)
500 W Main St
Lewisville, TX 75057-3629
Phone (888) 212-4243
Hospital & facility affiliations
- USRC Grand Prairie
- DaVita Grapevine Dialysis
- Renal Center of Lewisville
- Liberty Dialysis of South Lewisville
- DaVita Heb Dialysis Center
- Medical City Lewisville
- Baylor Scott & White Medical Center Grapevine
- Texas Health Arlington Memorial Hospital
- Medical City Arlington
- Methodist Mansfield Medical Center
- Encompass Health Rehabilitation Hospital of the Mi
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061002000083 | TX | Practitioner - Nephrology |
5698679082 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Physician Associates PLLC | Current |
Accepting new patients | |
| Renal Specialists of North Texas PLLC | Nephrology | Current |
Accepting new patients |
| Acclaim Physician Group, Inc | Current |
Accepting new patients | |
| Usrc Tarrant L P | Past |
Accepting new patients | |
| Usrc Grand Prairie LLC | Past |
Accepting new patients | |
| Dallas Kidney Specialists, P.a. | Nephrology | Past | Accepting new patients |
Locations
1000 N Cooper St
Arlington, TX 76011
Phone (817) 548-3400
619 Matlock Centre Cir
Arlington, TX 76015
Phone (214) 851-1777
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109
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
- https://fhir4.healow.com/fhir/r4/IAEGBD
- https://fhir4.healow.com/fhir/r4/IAEGBD/Endpoint/IAEGBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | M3472 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182833704 | Medicaid | TX |
NPI Registry JSON
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182833704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
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All providers in Arlington, TX · Nephrology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.