Active NPI
Sundaram Sukumar MD PA
- Internal Medicine Physician
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J3239
- Legal business name
- SUNDARAM SUKUMAR MD PA
- Practice address
- 2301 S Clear Creek Rd
#112
Killeen, TX 76549-4143 - Phone
- (254) 519-3131
- Fax
- (254) 519-3133
- NPI assigned
- Nov 10, 2005
- Last updated
- Jan 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sundaram Sukumar, MD
- Title
- MD Owner
- Phone
- (254) 519-3131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J3239 | TX | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | J3626 | TX |
Addresses
Primary practice location
2301 S Clear Creek Rd
#112
Killeen, TX 76549-4143
Mailing address
2301 S Clear Creek Rd
#112
Killeen, TX 76549-4143
Phone (254) 519-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149340501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
806 E Avenue D
Ste H
Copperas Cove, TX 76522
Phone (254) 518-5511
2301 Clear Creek Rd
Ste 112
Killeen, TX 76549
Phone (254) 519-3131
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Killeen, TX
- NPI 1336120880
-
- Family Medicine Physician
- Copperas Cove, TX
- NPI 1851385371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1588645022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 S CLEAR CREEK RD",
"address_2": "#112",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494143",
"telephone_number": "254-519-3131",
"fax_number": "254-519-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S CLEAR CREEK RD",
"address_2": "#112",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494143",
"telephone_number": "254-519-3131",
"fax_number": "254-519-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNDARAM SUKUMAR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "SUKUMAR",
"authorized_official_first_name": "SUNDARAM",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "254-519-3131",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J3239",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "J3626",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149340501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.