Individual provider Active NPI

Supriya Sehgal, M.D.

  • Rheumatology Physician
  • Richardson, TX
National Provider Identifier
1225248156
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
N8721 Issued in TX
Practice address
2821 E. Pres. George Bush Hwy
Suite 305
Richardson, TX 75082-3401
Phone
(972) 235-3248
Fax
(972) 235-3984
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X N8721 TX Primary

Addresses

Primary practice location

2821 E. Pres. George Bush Hwy
Suite 305
Richardson, TX 75082-3401

Mailing address

5427 Bryn Mawr Dr
Dallas, TX 75209-3401
Phone (972) 235-3248

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
I20110907000892 TX Practitioner - Rheumatology 9032389762 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi K. Mootha, M.D., P.a. CurrentSince Jun 12, 2011 Accepting new patients

Locations

2821 George Bush Hwy
Ste 305
Richardson, TX 75082
Phone (972) 235-3248

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1225248156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 BRYN MAWR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093401",
            "telephone_number": "972-235-3248",
            "fax_number": "972-235-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E. PRES. GEORGE BUSH HWY",
            "address_2": "SUITE 305",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823401",
            "telephone_number": "972-235-3248",
            "fax_number": "972-235-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHGAL",
        "first_name": "SUPRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "N8721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.