Individual provider Active NPI

Suman Nalluri, MD

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1841402609
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P9409 Issued in TX
Practice address
1600 Coit Rd
Suite 104
Plano, TX 75075-6174
Phone
(972) 566-5411
Fax
(972) 519-8337
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 39028 IA
Neurology Physician 2084N0400X 2009001616 MO
Neurology Physician 2084N0400X P9409 TX Primary

Addresses

Primary practice location

1600 Coit Rd
Suite 104
Plano, TX 75075-6174

Mailing address

1600 Coit Rd
Suite 104
Plano, TX 75075-6174
Phone (972) 566-5411

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
I20141114001703 TX Practitioner - NeurologyPractitioner - Psychiatry 8022169598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

8715 Village Dr
San Antonio, TX 78217-5405
Phone (210) 657-2100

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39028IAMDNeurology Physician
2009001616MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

8715 Village Dr
Ste 310
San Antonio, TX 78217
Phone (210) 590-1018

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8715 Village Dr
San Antonio, TX 78217
Phone (210) 297-2550

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: suman.nalluri.1@1438.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1841402609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COIT RD",
            "address_2": "SUITE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756174",
            "telephone_number": "972-566-5411",
            "fax_number": "972-519-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD",
            "address_2": "SUITE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756174",
            "telephone_number": "972-566-5411",
            "fax_number": "972-519-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLURI",
        "first_name": "SUMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "39028",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2009001616",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P9409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.