Individual provider Active NPI

Sushruti Boorla, DO

  • Cardiovascular Disease Physician
  • Plano, TX
National Provider Identifier
1790097608
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M7054 Issued in TX
Practice address
6957 W Plano Pkwy Ste 1000
Plano, TX 75093-1621
Phone
(972) 939-8294
Fax
(214) 731-0240
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M7054 TX Primary

Addresses

Primary practice location

6957 W Plano Pkwy Ste 1000
Plano, TX 75093-1621

Mailing address

6957 W Plano Pkwy Ste 1000
Plano, TX 75093-1621
Phone (972) 939-8294

Other identifiers 4

IdentifierTypeStateIssuer
216678701MedicaidTX
216678702MedicaidTX
216678703MedicaidTX
216678705MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sboorla88150@direct.texashealth.org Health Information Exchange (HIE)

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
I20101123000769 TX Practitioner - Cardiovascular Disease (Cardiology) 7012103526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Texas HSC, College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

6300 W Parker Rd
Suite 322
Plano, TX 75093-8103
Phone (972) 981-7870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as individual
Quality
62.8
Promoting interoperability
99
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7054TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Cardiovascular Disease Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

12500 Dallas Pkwy
Ste 4600
Frisco, TX 75033
Phone (469) 495-0806

6957 W Plano Pkwy
Ste 1000
Plano, TX 75093
Phone (469) 986-3700

6300 W Parker Rd
Ste 322
Plano, TX 75093
Phone (972) 939-8294

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1790097608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY STE 1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931621",
            "telephone_number": "972-939-8294",
            "fax_number": "214-731-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY STE 1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931621",
            "telephone_number": "972-939-8294",
            "fax_number": "214-731-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORLA",
        "first_name": "SUSHRUTI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M7054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216678701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216678702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216678703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216678705",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sboorla88150@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "hie",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6300 W Parker Rd # 300",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750938100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.