NPIMap

Individual provider Active NPI

Sunil Kumar Kottur, MD

  • Psychiatry Physician
  • Plano, TX
National Provider Identifier
1346251139
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K5136 Issued in TX
Practice address
2301 Ohio Drive
Suite 295
Plano, TX 75093-3998
Phone
(972) 672-5663
Fax
(972) 596-5284
NPI assigned
Aug 10, 2006
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K5136 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X K5136 TX

Addresses

Primary practice location

2301 Ohio Drive
Suite 295
Plano, TX 75093-3998

Mailing address

2301 Ohio Drive
Suite 295
Plano, TX 75093-3998
Phone (972) 672-5663

Other practice location 1

7502 Fair Oaks Ave
Dallas, TX 75231-5404
Phone (972) 502-4140

Other names 1

  • Kotturappa Sunil Kumar Former name

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

State licenses

LicenseStateTypeSpecialty
K5136TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunil Kumar Kottur LLC Multi-Specialty Past Accepting new patients
Coastal Plains Community MHMR Center Past Accepting new patients
South Texas Psychiatric Associates, P.a. Multi-Specialty Past Accepting new patients
Gulf Bend Mental Health Mental Retardation Center Multi-Specialty Past Accepting new patients
Dallas Independent School District Multi-Specialty Past Accepting new patients
Coastal Plains Community MHMR Center Multi-Specialty Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1346251139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 OHIO DRIVE",
            "address_2": "SUITE 295",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933998",
            "telephone_number": "972-672-5663",
            "fax_number": "972-596-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DRIVE",
            "address_2": "SUITE 295",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933998",
            "telephone_number": "972-672-5663",
            "fax_number": "972-596-5284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7502 Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752315404",
            "country_code": "US",
            "telephone_number": "972-502-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTTUR",
        "first_name": "SUNIL",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K5136",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "K5136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOTTURAPPA",
            "last_name": "KUMAR",
            "middle_name": "SUNIL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.