Srinivasa Gurram, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

Q7556 Issued in TX

Practice address

3100 Daniel McCall Dr
Apt# 3301
Lufkin, TX 75904-7169

Phone

(862) 290-7727

NPI assigned

Jun 5, 2014

Last updated

Apr 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lion Star Nacogdoches Hospital, LLCGroup PAC ID 3971992082, 12 clinicians

Lufkin Physician Services PAGroup PAC ID 1153542998, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
• Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
• East Houston Medical Center Hospital, Houston, TX, CCN 670320
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lion Star Nacogdoches Hospital, LLC

  dba Nacogdoches Memorial Professional Group

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1316616550

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Lufkin Physician Services PA

  • Hospitalist Physician
  • Lufkin, TX
  • NPI 1881093789
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Etmc Physician Group Inc.

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1609382662
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Internal Medicine

  Medicare reassignment NPD
• Southern Physician Group Management LLC

  • Internal Medicine Physician
  • Nacogdoches, TX
  • NPI 1770162695
  Medicare reassignment NPD
• Hospital Docs PA

  • Internal Medicine Physician
  • Montgomery, TX
  • NPI 1871792309
  Medicare reassignment
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Chandler, TX
  • NPI 1235706581
  NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  dba IES Houston

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  NPD
• Lion Star Nacogdoches Hospital, LLC

  dba Cecil B. Bomar Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Nacogdoches, TX
  • NPI 1043880123
  NPD
• Nacogdoches County Hospital District

  dba NCHD Memorial Hospital

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748
  NPD (past)

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

• Excellence Emergency Hospital LLC

  dba East Houston Medical Center PLLC

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1972258580
  Care Compare affiliation
• Memorial Hospital of Polk County

  dba CHI St. Luke's Heath Memorial Livingston

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation
• Nacogdoches County Hospital District

  dba NCHD Memorial Hospital

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  dba Woodland Heights Medical Center

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1417360538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DANIEL MCCALL DR",
            "address_2": "APT# 3301",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047169",
            "telephone_number": "862-290-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DANIEL MCCALL DR",
            "address_2": "APT# 3301",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047169",
            "telephone_number": "862-290-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURRAM",
        "first_name": "SRINIVASA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q7556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Griffin, FNP
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• Mary Jane Grimes, LCSW
• Jeremy Grisel, P.T.
• Gabriel Guijarro, R.PH.
• Roy Guse, M.D.
• Tracy Elizabeth Guthrie, LPC
• John Khoa Ha, D.O.
• Angela Caskey Hafernick, M.D.
• Haley B. McClendon, DDS, PLLC (Hollywood Dental Center)

• Internal Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.