Individual provider Active NPI

Sura Imad Alqaisi

  • Internal Medicine Physician
  • Cypress, TX
National Provider Identifier
1518427764
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W6157 Issued in TX
Practice address
21216 Northwest Fwy Ste 400
Cypress, TX 77429-4696
Phone
(346) 738-1650
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X W6157 TX Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X W6157 TX
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

21216 Northwest Fwy Ste 400
Cypress, TX 77429-4696

Mailing address

PO Box 58538
Webster, TX 77598-8538

Other practice location 1

6431 Fannin St # 5.104
Houston, TX 77030-1501
Phone (713) 500-6543

Other practice location 2

500 N Kobayashi Ste C
Webster, TX 77598-4722
Phone (281) 816-3092

Other practice location 3

1400 Ravello Rd Ste 230
Katy, TX 77449-5164
Phone (346) 489-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220601003154 FL Practitioner - Internal Medicine 7911234935 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Hospitalists Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1518427764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58538",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 400",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294696",
            "telephone_number": "346-738-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St # 5.104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6543",
            "fax_number": "713-500-6647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Kobayashi Ste C",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "281-816-3092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Ravello Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774495164",
            "country_code": "US",
            "telephone_number": "346-489-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALQAISI",
        "first_name": "SURA",
        "middle_name": "IMAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W6157",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "W6157",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.