Individual provider Active NPI

Surya Narayan Mulukutla

  • Endocrinology, Diabetes & Metabolism Physician
  • Edinburg, TX
National Provider Identifier
1568690865
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P4683 Issued in TX
Practice address
2821 Michaelangelo Dr Ste 102B
Edinburg, TX 78539-1411
Phone
(956) 362-5650
Fax
(956) 362-2599
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X P4683 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P4683 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr Ste 102B
Edinburg, TX 78539-1411

Mailing address

PO Box 2646
McAllen, TX 78502-2646
Phone (956) 362-5650

Other practice location 1

2609 Michaelangelo Dr
Edinburg, TX 78539-1417
Phone (956) 362-5650

Other identifiers 1

IdentifierTypeStateIssuer
374872501MedicaidTX

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
I20170916000492 TX Practitioner - Endocrinology 6103190061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Baylor College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance EndocrinologyGroup PAC ID 9234361452, 10 clinicians

Practice addresses (Care Compare)

2609 W Michaelangelo Dr
Edinburg, TX 78539-1417
Phone (956) 362-5650

4770 N Expressway
Suite 303
Brownsville, TX 78526-3108
Phone (956) 362-3715

505 Angelita Dr
Suite 14
Weslaco, TX 78599-8694
Phone (956) 362-5650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.15
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Endocrinology Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

4770 N Expressway 77 83
Ste 303
Brownsville, TX 78526
Phone (956) 362-3715

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2821 W Michaelangelo Dr
Ste 102B
Edinburg, TX 78539
Phone (956) 362-7020

2821 W Michaelangelo Dr
Ste 102A
Edinburg, TX 78539
Phone (956) 362-2440

2609 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 475-3581

505 Angelita Dr
Ste 14
Weslaco, TX 78599
Phone (956) 362-3720

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.

Hospital & facility affiliations 2

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1568690865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2646",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022646",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 102B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391411",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 Michaelangelo Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391417",
            "country_code": "US",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULUKUTLA",
        "first_name": "SURYA",
        "middle_name": "NARAYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TX",
            "license": "P4683",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P4683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374872501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.