Active NPI
Suma Putcha, M.D.
- Pediatrics Physician
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K0478
- Practice address
- 1720 N Central Expy
Suite 150
McKinney, TX 75070-3161 - Phone
- (972) 542-2800
- Fax
- (972) 542-2801
- NPI assigned
- Dec 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K0478 | TX | Primary |
Addresses
Primary practice location
1720 N Central Expy
Suite 150
McKinney, TX 75070-3161
Mailing address
1720 N Central Expy
Suite 150
McKinney, TX 75070-3161
Phone (972) 542-2800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0478 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Physicians for Children | Past | Accepting new patients | |
| Topcare Medical Group Inc | Past | Accepting new patients | |
| Complex Care Medical Services Corporation | Pediatrics | Past | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Past | Accepting new patients |
Locations
1935 Medical District Dr
#411
Dallas, TX 75235
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
2350 N Stemmons Fwy
Ste F2400
Dallas, TX 75207
Phone (469) 488-7100
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
Interoperability endpoints
- sputcha77312@direct.childrens.com
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 and National Provider Directory roles.
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
-
dba Children's Health Pediatric Group
- Social Worker
- Dallas, TX
- NPI 1558771014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1255600813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 N CENTRAL EXPY",
"address_2": "SUITE 150",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750703161",
"telephone_number": "972-542-2800",
"fax_number": "972-542-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 N CENTRAL EXPY",
"address_2": "SUITE 150",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750703161",
"telephone_number": "972-542-2800",
"fax_number": "972-542-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTCHA",
"first_name": "SUMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K0478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
- Pullium Creek, Inc (McKinney Pharmacy)
- Pullium Creek, Inc (McKinney Pharmacy)
- Purplestarmed LLC
- Chassidy Purvis, MS, CCC-SLP
- Rajesh V Putcha, M.D.
- Michael Young Pyon, PTA
- Emilie Judy Quach, PHARMD
- Melissa Quain, AGACNP
- Quality Family Health Care Clinics PLLC
- Qualls Physical Therapy & Wellness, PLLC (The Home Neuro PT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.