NPIMap

Individual provider Active NPI

Sumanth R Daram, M.D.

  • Gastroenterology Physician
  • Augusta, GA
National Provider Identifier
1619957107
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
067892 Issued in GA
Practice address
1120 15TH Street
Augusta, GA 30912-0004
Phone
(706) 724-6100
NPI assigned
Jan 19, 2006
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46290-020 WI
Gastroenterology Physician 207RG0100X 036.130180 IL
Gastroenterology Physician 207RG0100X 067892 GA Primary

Addresses

Primary practice location

1120 15TH Street
Augusta, GA 30912-0004

Mailing address

1499 Walton Way
Suite 1400
Augusta, GA 30901-2603
Phone (706) 724-6100

Other identifiers 1

IdentifierTypeStateIssuer
34565300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170630001337 TX Practitioner - Gastroenterology 3870560964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10905 Memorial Hermann Dr
Suite 211
Pearland, TX 77584-3490
Phone (281) 484-6264

11100 Shadow Creek Pkwy
Pearland, TX 77584-7285
Phone (713) 770-7000

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

15015 Kirby Dr
Suite 200a
Pearland, TX 77047-2580
Phone (713) 343-6360

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-6500

18220 State Hwy 249
Suite 290
Houston, TX 77070-4370
Phone (281) 897-8866

444 FM 1959 Rd
Suite a
Houston, TX 77034-5416
Phone (281) 481-9400

601 S Main St
Keller, TX 76248-7029
Phone (817) 741-4347

P O Box
Suite 35629
Dallas, TX 75235-0629

PO Box
Suite 35629
Dallas, TX 75235-0629

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy109
Upper gastrointestinal (GI) endoscopy for acid reflux257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46290-020WIMDInternal Medicine Physician
067892GAMDGastroenterology Physician
036.130180ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jul 18, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jul 18, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine Past Accepting new patients
Pims S.C. Internal Medicine Past Accepting new patients

Locations

18220 Tomball Pkwy
Ste 290
Houston, TX 77070
Phone (281) 807-6800

444 FM 1959 Rd
Ste A
Houston, TX 77034
Phone (281) 481-9400

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

10905 Memorial Hermann Dr
Ste 120
Pearland, TX 77584
Phone (281) 412-7111

Interoperability endpoints

  • Direct secure messaging: sdaram468661@direct.stlukeshealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1619957107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WALTON WAY",
            "address_2": "SUITE 1400",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012603",
            "telephone_number": "706-724-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-724-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAM",
        "first_name": "SUMANTH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "46290-020",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.130180",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "067892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34565300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.