Sreevani Kuncham, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L5423 Issued in TX

Legal business name

SREEVANI KUNCHAM, MD, PA

Practice address

273 W Church St., Suite 100
Lewisville, TX 75057

Phone

(972) 436-7424

Fax

(972) 219-0343

NPI assigned

Jun 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sreevani Kuncham, MDNPI 1528030210

Title

MD, PA

Phone

(972) 436-7424

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sreevani Kuncham, MD

  • Internal Medicine Physician
  • Lewisville, TX
  • NPI 1528030210

  Single Specialty

  Medicare reassignment NPD Authorized official
• Laura Flusche, FNP

  • Family Nurse Practitioner
  • Little Elm, TX
  • NPI 1013616374
  Medicare reassignment NPD
• Barsha Sharma, FNP-C

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1528652724
  NPD
• Udita Apte, M.D.

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1679792568
  NPD (past)
• Udhay N Kumar, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1588781579
  NPD (past)
• Varsha D Shah, M.D.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1356428197
  NPD (past)

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1255860391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 W CHURCH ST., SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75057",
            "telephone_number": "972-436-7424",
            "fax_number": "972-219-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 W CHURCH ST., SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75057",
            "telephone_number": "972-436-7424",
            "fax_number": "972-219-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREEVANI KUNCHAM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-11",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "KUNCHAM",
        "authorized_official_first_name": "SREEVANI",
        "authorized_official_title_or_position": "MD, PA",
        "authorized_official_telephone_number": "972-436-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1528030210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Special Abilities of North Texas, Inc.
• Kylee Spicer
• Spirit Hospice LLC
• Spogo LLC (Fastest Labs)
• Aeriel La'Te Spurlock
• SSNT, PLLC
• Richard Staats
• Shelby Stahl
• Stanley Franklin, M.D., PA
• Haylie Stanley

• Internal Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.