Individual provider Active NPI

Sujatha Medarametla, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1548370893
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N0267 Issued in TX
Practice address
9330 Amberton Pkwy Ste 1000
Dallas, TX 75243-2197
Phone
(214) 570-3188
Fax
(214) 570-3165
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85863 FL
Internal Medicine Physician 207R00000X N0267 TX Primary

Addresses

Primary practice location

9330 Amberton Pkwy Ste 1000
Dallas, TX 75243-2197

Mailing address

9330 Amberton Pkwy Ste 1000
Dallas, TX 75243-2197
Phone (214) 570-3188

Other identifiers 5

IdentifierTypeStateIssuer
200441803MedicaidTX
200441806MedicaidTX
200441801MedicaidTX
200441802MedicaidTX
200441804MedicaidTX

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
I20090312000262 TX Practitioner - Internal Medicine 4688635154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-3225

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85863FLMDInternal Medicine Physician
N0267TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Virtual Care CurrentSince Jan 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Presbyterian Hospital Plano Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001

9330 Amberton Pkwy
Ste 1000
Dallas, TX 75243
Phone (214) 328-3566

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: smedarametla88653@direct.texashealth.org
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1548370893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 AMBERTON PKWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432197",
            "telephone_number": "214-570-3188",
            "fax_number": "214-570-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 AMBERTON PKWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432197",
            "telephone_number": "214-570-3188",
            "fax_number": "214-570-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDARAMETLA",
        "first_name": "SUJATHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85863",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.