Individual provider Active NPI

Supriya Thirunarayanan, M.D.

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1548324163
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N7182 Issued in TX
Practice address
1600 Coit Rd Ste 406
Plano, TX 75075-6173
Phone
(469) 977-1210
Fax
(469) 977-1155
NPI assigned
Dec 20, 2006
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X N7182 TX Primary
Neurology Physician 2084N0400X N7182 TN

Addresses

Primary practice location

1600 Coit Rd Ste 406
Plano, TX 75075-6173

Mailing address

1600 Coit Rd Ste 406
Plano, TX 75075-6173
Phone (469) 977-1210

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
I20110525000440 TX Practitioner - Neurology 8325224462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 Coit Rd
Suite 406
Plano, TX 75075-6173
Phone (469) 977-1210

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7182TNMDNeurology Physician
N7182TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Neurology CurrentSince Mar 9, 2024 Accepting new patients
Talis Healthcare LLC PastSince Sep 5, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: supriya.thirunarayanan@cncpa.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1548324163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756173",
            "telephone_number": "469-977-1210",
            "fax_number": "469-977-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756173",
            "telephone_number": "469-977-1210",
            "fax_number": "469-977-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUNARAYANAN",
        "first_name": "SUPRIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N7182",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "N7182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.