Surgical Critical Care Associates, LLP

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

SURGICAL CRITICAL CARE ASSOCIATES, LLP

Practice address

2965 Harrison St
Suite 211
Beaumont, TX 77702-1149

Phone

(409) 899-8501

Fax

(409) 899-8510

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Darioush Kavouspour, M.D.NPI 1417956111

Title

Partner

Phone

(409) 899-8501

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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

• Darioush Kavouspour, MD

  • Trauma Surgery Physician
  • Beaumont, TX
  • NPI 1417956111
  Medicare reassignment Care Compare group NPD Authorized official
• David Edward Parkus, M.D

  • Trauma Surgery Physician
  • Beaumont, TX
  • NPI 1023017613
  Medicare reassignment Care Compare group NPD
• Sarah Ann Tanton, FNP-C

  • Trauma Surgery Physician
  • Beaumont, TX
  • NPI 1093300410
  Medicare reassignment Care Compare group
• Eric Tyler Wooten, D.O.

  • Trauma Surgery Physician
  • Beaumont, TX
  • NPI 1215147707
  Medicare reassignment Care Compare group
• Timothy M Hodges, M.D.

  • Surgical Critical Care Physician
  • Shenandoah, TX
  • NPI 1679676795

  Surgery

  NPD (past)
• Marshall Brandon Packard, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Antonio, TX
  • NPI 1538175443
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1356446512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12909",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262909",
            "telephone_number": "409-899-8501",
            "fax_number": "409-899-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST",
            "address_2": "SUITE 211",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021149",
            "telephone_number": "409-899-8501",
            "fax_number": "409-899-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CRITICAL CARE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "KAVOUSPOUR",
        "authorized_official_first_name": "DARIOUSH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "409-899-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141564802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH4595",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Munnaver Sultana, MD
• Kristi Sumrall, MS, CCC-SLP
• Sunny Anesthesia LLP
• Suresh B Indupalli MD PA
• Surgical Assist Services
• Surreal Breathing LLC
• Susan K Craig M D P a
• Suzanne Delaney Reuland
• Katie Granger Swanton, PA-C
• Sweet Speech Therapy, PLLC

• Trauma Surgery Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Trauma Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.