Organization Active NPI

Sunti Srivathanakul MD PLLC

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1588498604
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNTI SRIVATHANAKUL MD PLLC
Practice address
5900 Balcones Dr Ste 21651
Austin, TX 78731-4257
Phone
(833) 536-7284
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Sunti Srivathanakul, MD
Title
Owner
Phone
(972) 365-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 21651
Austin, TX 78731-4257

Mailing address

904 Lahinch Cir
Richardson, TX 75081-5140

National Provider Directory

National Provider Directory

Locations

5900 Balcones Dr
Ste 21651
Austin, TX 78731
Phone (833) 536-7284

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24263/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1588498604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 LAHINCH CIR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 21651",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "833-536-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTI SRIVATHANAKUL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "SRIVATHANAKUL",
        "authorized_official_first_name": "SUNTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-365-3023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.