Individual provider Active NPI

Suma Stanly Chirayath

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1649752882
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138638 Issued in TX
Practice address
4343 N Josey LN
Carrollton, TX 75010-4603
Phone
(972) 394-2330
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP138638 TX Primary

Addresses

Primary practice location

4343 N Josey LN
Carrollton, TX 75010-4603

Mailing address

413 Anna Ave
Lewisville, TX 75056-5842
Phone (978) 729-0920

Other names 1

  • Mrs. Suma Stanly Chirayath Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323000099 TX Practitioner - Nurse Practitioner 5991190225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Rehab Consultants, PLLCGroup PAC ID 1052500360, 3 clinicians

Practice addresses (Care Compare)

5435 N Garland Ave
Suite 140 183
Garland, TX 75040-2785
Phone (888) 846-3384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Rehab Consultants, PLLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients

Locations

5435 N Garland Ave
Ste 140183
Garland, TX 75040
Phone (214) 284-5514

1350 E Lookout Dr
Richardson, TX 75082
Phone (972) 220-2000

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1649752882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 ANNA AVE",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565842",
            "telephone_number": "978-729-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104603",
            "telephone_number": "972-394-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRAYATH",
        "first_name": "SUMA",
        "middle_name": "STANLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMA",
            "last_name": "CHIRAYATH",
            "middle_name": "STANLY",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.