Soumaila Camara

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1017352 Issued in TX

Practice address

2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636

Phone

(833) 258-7900

NPI assigned

Jun 16, 2011

Last updated

Oct 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jefferson Physician Services, PLLC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1598546764

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Essam a Girgawy MD PA

  • Infectious Disease Physician
  • Kingwood, TX
  • NPI 1841322872
  Medicare reassignment NPD
• Infectious Disease Associates of Greater Houston LLC

  • Infectious Disease Physician
  • Kingwood, TX
  • NPI 1871117838
  Medicare reassignment NPD
• Prime Hospitalist Partners, LLC

  dba Petitt Primary Care

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1699342261
  Medicare reassignment NPD
• A Kabir Qadri MD PA

  • Internal Medicine Physician
  • Kingwood, TX
  • NPI 1457436370
  NPD
• Sowmya Puthalapattu PA

  • Nephrology Physician
  • Kingwood, TX
  • NPI 1427494087
  NPD
• Padma R. Kumashi MD PA

  • Infectious Disease Physician
  • Houston, TX
  • NPI 1710012471
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1356636476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 S WEBBER DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849415",
            "telephone_number": "832-288-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD STE 607",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802636",
            "telephone_number": "833-258-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115806003",
            "country_code": "US",
            "telephone_number": "516-823-0739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARA",
        "first_name": "SOUMAILA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1017352",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "643013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
            "identifier": "643013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Callahan, LPC-S
• Jessica Callicutt, LPC
• Francisca Ynes Calvo, EIS
• Gabriella Camacho
• Natalia Camacho
• Cambridge Interventional Pain Center LLC
• Camden Interventional Pain Center, LLC
• Kristin Nicole Cameron
• Camp Medical Management, LLC (Accuhealth)
• Donald L. Camp, LPC, LMFT

• Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.