NPIMap

Individual provider Active NPI

Sakuntalai Srinanthakumar, M.D.

  • Adult Medicine Physician
  • Beaumont, TX
National Provider Identifier
1740272756
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
H2969 Issued in TX
Practice address
740 Hospital Dr
Suite 180
Beaumont, TX 77701-4664
Phone
(409) 839-8848
Fax
(409) 839-4220
NPI assigned
Aug 16, 2005
Reactivated
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X H2969 TX Primary

Addresses

Primary practice location

740 Hospital Dr
Suite 180
Beaumont, TX 77701-4664

Mailing address

740 Hospital Dr
Suite 180
Beaumont, TX 77701-4664
Phone (409) 839-8349

Other identifiers 1

IdentifierTypeStateIssuer
123255505MedicaidTX

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
I20050428001244 TX Practitioner - Internal Medicine 5294710604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Hospital Dr
Beaumont, TX 77701-4663
Phone (409) 839-8848

Hospital & facility affiliations

  • Baptist Homecare Home health agency, Beaumont, TX, CCN 679403
  • Centerwell Home Health Home health agency, Beaumont, TX, CCN 678039
  • Choice Health at Home Home health agency, Beaumont, TX, CCN 457852
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2969TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sakuntalai Srinanthakumar, M.D.,P.a CurrentSince Oct 1, 1997 Accepting new patients
Baptist Physician Network Past Accepting new patients

Locations

740 Hospital Dr
Ste 180
Beaumont, TX 77701
Phone (409) 839-8848

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Beaumont HospitalBeaumont, TX, CCN 450346 Hospital Corporate Director Jan 1, 2004
Baptist Beaumont HospitalBeaumont, TX, CCN 45T346 Hospital Corporate Director Jan 1, 2004
Baptist Beaumont HospitalBeaumont, TX, CCN 45S346 Hospital Corporate Director Jan 1, 2004

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 5

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1740272756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 180",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-839-8349",
            "fax_number": "409-839-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 180",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-839-8848",
            "fax_number": "409-839-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINANTHAKUMAR",
        "first_name": "SAKUNTALAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "H2969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123255505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.