Individual provider Active NPI

Sumit Guha, M.D.

  • Emergency Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1144278698
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J9695 Issued in TX
Practice address
600 N Union Ave
New Braunfels, TX 78130-4194
Phone
(830) 643-6166
NPI assigned
May 5, 2006
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J9695 TX Primary

Addresses

Primary practice location

600 N Union Ave
New Braunfels, TX 78130-4194

Mailing address

20 Inwood BLF
San Antonio, TX 78248-1645

Other identifiers 1

IdentifierTypeStateIssuer
166860001MedicaidTX

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
I20031110000054 TX Practitioner - Emergency Medicine 8729991401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9695TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Atascosa Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients

Locations

7100 US 287 Hwy
Arlington, TX 76001
Phone (800) 677-5903

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

7719 S Ih 35
San Antonio, TX 78224
Phone (210) 572-2955

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1144278698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 INWOOD BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N UNION AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304194",
            "telephone_number": "830-643-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHA",
        "first_name": "SUMIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J9695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166860001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.