Active NPI
Suresh K Chirumamilla, M.D
- Nephrology Physician
- Irving, TX
National Provider Identifier
1528343241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- T4727
- Practice address
- 2005 W Park Dr Ste 200
Irving, TX 75061-2034 - Phone
- (214) 358-2300
- Fax
- (214) 579-6984
- NPI assigned
- Oct 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | T4727 | TX | Primary |
Addresses
Primary practice location
2005 W Park Dr Ste 200
Irving, TX 75061-2034
Mailing address
1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300
Other practice location 1
2020 W State Highway 114 Ste 190
Grapevine, TX 76051-8649
Phone (214) 358-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T4727 | Other | TX | TX LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2005 W Park Dr
Suite 200
Irving, TX 75061-2034
Phone (214) 358-2300
Hospital & facility affiliations
- Fresenius Medical Care Irving
- FKC Keller
- Baylor Scott & White Medical Center Grapevine
- Medical City Las Colinas
- Baylor Scott & White Medical Center at Irving
- Methodist Southlake Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Nephrology Associates | Current | Accepting new patients | |
| Dallas Nephrology Associates | Nephrology | Current | Accepting new patients |
Locations
1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012
1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200
1420 Viceroy Dr
Dallas, TX 75235
1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153
2020 W State Highway 114
Ste 190
Grapevine, TX 76051
Phone 2143582300 ext. 6225
2005 W Park Dr
Ste 200
Irving, TX 75061
Phone (214) 366-6225
Interoperability endpoints
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
- schirumamilla52372@direct.acumenmd.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Dallas, TX
- NPI 1861440109
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Irving, TX
- NPI 1902857766
-
- General Acute Care Hospital
- Southlake, TX
- NPI 1568818417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1528343241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LBJ FWY STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752346065",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W PARK DR STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750612034",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6984"
}
],
"practiceLocations": [
{
"address_1": "2020 W State Highway 114 Ste 190",
"address_purpose": "LOCATION",
"city": "Grapevine",
"state": "TX",
"postal_code": "760518649",
"country_code": "US",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIRUMAMILLA",
"first_name": "SURESH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "T4727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE",
"identifier": "T4727",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.