Organization Active NPI

Senior Health Physicians PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Victoria, TX
National Provider Identifier
1679621023
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
M5275 Issued in TX
Legal business name
SENIOR HEALTH PHYSICIANS PA
Practice address
605 E San Antonio St Ste 310E
Victoria, TX 77901-6053
Phone
(361) 575-0228
Fax
(361) 237-1585
NPI assigned
Jan 8, 2007
Last updated
Jun 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Dr. Suruchii Kathpalia, M.D.
Title
Owner
Phone
(361) 575-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M5275 TX Primary

Addresses

Primary practice location

605 E San Antonio St Ste 310E
Victoria, TX 77901-6053

Mailing address

PO Box 3768
Victoria, TX 77903-3768
Phone (361) 935-5135

Other identifiers 2

IdentifierTypeStateIssuer
M5275OtherTXLICENSE
184838401MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1679621023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033768",
            "telephone_number": "361-935-5135",
            "fax_number": "361-237-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 310E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016053",
            "telephone_number": "361-575-0228",
            "fax_number": "361-237-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "KATHPALIA",
        "authorized_official_first_name": "SURUCHII",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-575-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M5275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M5275",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184838401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.