Active NPI
Sujana Rachuri, MD
- Pediatrics Physician
- Killeen, TX
National Provider Identifier
1336701309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T9480
- Practice address
- 3801 Scott and White Dr
Killeen, TX 76543-5252 - Phone
- (254) 680-1100
- NPI assigned
- Jun 30, 2019
- 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 | T9480 | TX | Primary |
Addresses
Primary practice location
3801 Scott and White Dr
Killeen, TX 76543-5252
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srachuri1112518@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Health System of Texas | Past | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Hospital
- Dallas, TX
- NPI 1194743013
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1336701309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SCOTT AND WHITE DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765435252",
"telephone_number": "254-680-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHURI",
"first_name": "SUJANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-30",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T9480",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srachuri1112518@direct.sw.org",
"affiliation": "N",
"address_1": "3801 Scott and White Dr",
"city": "Killeen",
"state": "TX",
"country_code": "US",
"postal_code": "765435252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.