Organization Active NPI

US Neuro Specialists PLLC

  • Medical Specialty Clinic/Center
  • Paris, TX
National Provider Identifier
1265783237
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
N9970 Issued in TX
Legal business name
US NEURO SPECIALISTS PLLC
Practice address
3146 Clarksville St
Paris, TX 75460-8002
Phone
(903) 732-6102
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Dr. Sunil Kumar Reddy Thummala, MDNPI 1740418540
Title
Manager
Phone
(903) 732-6102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X
Medical Specialty Clinic/Center 261QM2500X N9970 TX Primary

Addresses

Primary practice location

3146 Clarksville St
Paris, TX 75460-8002

Mailing address

3146 Clarksville St
Paris, TX 75460-8002
Phone (903) 732-6102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130507000034 TX Part B Supplier - Clinic/Group Practice 6002053360 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX; Paris, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2107730US Neuro Specialists PLLC3146 Clarksville St, Paris, TX 75460Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory

Locations

3146 Clarksville St
Paris, TX 75460
Phone (903) 732-6102

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6008/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1265783237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 CLARKSVILLE ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608002",
            "telephone_number": "903-732-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 CLARKSVILLE ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608002",
            "telephone_number": "903-732-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US NEURO SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "THUMMALA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "KUMAR REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-732-6102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "N9970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.