Soujanya Donthu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N7536 Issued in TX

Practice address

5881 Virginia Pkwy Ste 300
McKinney, TX 75071-5402

Phone

(972) 369-0214

Fax

(972) 369-0710

NPI assigned

Dec 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• TPS III of PA, LLC

  dba Hahnemann Primary Services

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1902841018
  NPD (past)

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1477798718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 VIRGINIA PKWY STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715402",
            "telephone_number": "972-369-0214",
            "fax_number": "972-369-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 VIRGINIA PKWY STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715402",
            "telephone_number": "972-369-0214",
            "fax_number": "972-369-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONTHU",
        "first_name": "SOUJANYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD439947",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT187960",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domingo Domondon, PT
• Carnika Donald, DNP, MSN, PMHNP-BC
• Kristin Donaldson
• Donna M. Kobrin, D.C. P.a (Chiropractic Wellness Center)
• Elijah Donnici
• Morgan Doolittle, LMFT
• Courtney P Doran, NP
• Mattie Dornback, PT, DPT
• Anna Doroshuk, LPC
• Double Talk Therapy, PLLC

• Internal Medicine Physician in McKinney, TX
• Providers in McKinney, 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 28, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.