Individual provider Active NPI

Joseph C. Sumrall, D.O.

  • Emergency Medicine Physician
  • Meridian, MS
National Provider Identifier
1417040015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18568 Issued in MS
Practice address
1102 Constitution Avenue
Meridian, MS 39302
Phone
(601) 484-3357
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18568 MS Primary

Addresses

Primary practice location

1102 Constitution Avenue
Meridian, MS 39302

Mailing address

109 Kayfield PL
Madison, MS 39110-6539

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000363 TX Practitioner - Emergency Medicine 0143256875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

1405 W Jefferson St
Baylor Medical Center Waxahachie
Waxahachie, TX 75165-2231
Phone (469) 843-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18568MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Aug 26, 2012 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Dallas Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of Mississippi, Inc Emergency Medicine Past Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Emcare DFW Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417040015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KAYFIELD PL",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CONSTITUTION AVENUE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39302",
            "telephone_number": "601-484-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.