Individual provider Active NPI

Kusuma Kurmayagari, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1619317047
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4581 Issued in TX
Practice address
2351 E 22ND St
St.Vincent Charity Medical Center, Graduate Medical Edu
Cleveland, OH 44115-3111
Phone
(216) 861-6200
Fax
(216) 363-2721
NPI assigned
Jun 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R4581 TX Primary

Addresses

Primary practice location

2351 E 22ND St
St.Vincent Charity Medical Center, Graduate Medical Edu
Cleveland, OH 44115-3111

Mailing address

2351 E 22ND St
St.Vincent Charity Medical Center, Graduate Medical Edu
Cleveland, OH 44115-3111
Phone (216) 363-2543

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
I20171030001419 TX Practitioner - Internal Medicine 3476829896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7195

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

3011 W Loop 1604
San Antionio, TX 78251-3901
Phone (726) 266-7081

3333 Research PLZ
San Antonio, TX 78235-5154
Phone (210) 297-3650

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-0412

6700 W Ih
Suite 10
San Antonio, TX 78201-2009
Phone (210) 736-6700

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

7930 Floyd Curl Dr
San Antonio, TX 78229-3925
Phone (210) 297-5650

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2650

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4581TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 9, 2017 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7330 San Pedro Ave
Ste 540
San Antonio, TX 78216
Phone (210) 344-2673

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 5

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 7

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": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1619317047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "address_2": "ST.VINCENT CHARITY MEDICAL CENTER, GRADUATE MEDICAL EDU",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-363-2543",
            "fax_number": "216-363-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "address_2": "ST.VINCENT CHARITY MEDICAL CENTER, GRADUATE MEDICAL EDU",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200",
            "fax_number": "216-363-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURMAYAGARI",
        "first_name": "KUSUMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R4581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.