Individual provider Active NPI

Neelu Kumari, M.D.

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1740379692
Registry record updated Feb 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L 8100 Issued in TX
Practice address
3939 Dowlen Rd
Beaumont, TX 77706-6875
Phone
(409) 899-7800
Fax
(409) 898-3700
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L 8100 TX Primary

Addresses

Primary practice location

3939 Dowlen Rd
Beaumont, TX 77706-6875

Mailing address

5070 Eaheart Cir
Beaumont, TX 77706-7638
Phone (409) 347-1972

Other identifiers 1

IdentifierTypeStateIssuer
1686453-01MedicaidTX

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
I20041117000147 TX Practitioner - Emergency Medicine 7810951050 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L 8100TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Feb 15, 2018 Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

3939 Dowlen Rd
Ste 19
Beaumont, TX 77706
Phone (409) 899-7800

3939 Dowlen Rd
Beaumont, TX 77706
Phone (409) 899-7800

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517616000000",
    "number": "1740379692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 EAHEART CIR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067638",
            "telephone_number": "409-347-1972",
            "fax_number": "409-347-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066875",
            "telephone_number": "409-899-7800",
            "fax_number": "409-898-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARI",
        "first_name": "NEELU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L 8100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686453-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.