NPIMap

Organization Active NPI

Southern Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Mesquite, TX
National Provider Identifier
1811096480
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
M4788 Issued in TX
Legal business name
SOUTHERN ENDOCRINOLOGY ASSOCIATES
Practice address
3500 Ih-30 Buidling D
Suite 203
Mesquite, TX 75150
Phone
(972) 682-5700
NPI assigned
Sep 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Sumana Gangi, MDNPI 1487679213
Title
Director
Phone
(214) 909-8904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA07612100 NJ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X M4788 TX Primary

Addresses

Primary practice location

3500 Ih-30 Buidling D
Suite 203
Mesquite, TX 75150

Mailing address

3500 I-30 at Motley
Building D, Suite # 203
Mesquite, TX 75150
Phone (972) 682-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070423000250 TX Part B Supplier - Clinic/Group Practice 9638271711 Receives reassigned benefits from 9 practitioners
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

7705 San Jacinto Pl
Ste 100
Plano, TX 75024
Phone (972) 682-5700

7700 Lakeview Pkwy
Ste 400A
Rowlett, TX 75088

Practitioners & affiliated clinicians

Practitioners 11

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811096480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 I-30 AT MOTLEY",
            "address_2": "BUILDING D, SUITE # 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-682-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 IH-30 BUIDLING D",
            "address_2": "SUITE 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-682-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ENDOCRINOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GANGI",
        "authorized_official_first_name": "SUMANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-909-8904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA07612100",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "M4788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.