Individual provider Active NPI

Premakumari Murali Duraisami, M.D.

  • General Practice Physician
  • San Antonio, TX
National Provider Identifier
1659609766
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
T7311 Issued in TX
Practice address
400 E Quincy St
San Antonio, TX 78215-1934
Phone
(210) 472-0211
Fax
(210) 472-0214
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101243225 VA
General Practice Physician 208D00000X T7311 TX Primary

Addresses

Primary practice location

400 E Quincy St
San Antonio, TX 78215-1934

Mailing address

6049 Leesburg Pike
104
Falls Church, VA 22041-2221
Phone (703) 933-3073

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
I20220701000371 TX Practitioner - Preventive Medicine 3779963160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

400 E Quincy St
San Antonio, TX 78215-1934
Phone (210) 472-0211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7311TXMDGeneral Practice Physician
0101243225VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince May 25, 2022 Accepting new patients
American Current Care P.a. CurrentSince May 25, 2022 Accepting new patients
American Current Care, P.a. Current Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

400 E Quincy St
San Antonio, TX 78215
Phone (210) 472-0211

Organizations & group practices 3

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1659609766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 LEESBURG PIKE",
            "address_2": "104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412221",
            "telephone_number": "703-933-3073",
            "fax_number": "703-933-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E QUINCY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151934",
            "telephone_number": "210-472-0211",
            "fax_number": "210-472-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURALI DURAISAMI",
        "first_name": "PREMAKUMARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101243225",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "T7311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.