Individual provider Active NPI

Suchitra Rao Kamineni, MD

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1851548622
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0418 Issued in TX
Practice address
8795 Preston Trace Blvd Ste 100
Frisco, TX 75033-3010
Phone
(214) 705-3728
Fax
(214) 308-9464
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301091547 MI
Internal Medicine Physician 207R00000X P0418 TX Primary

Addresses

Primary practice location

8795 Preston Trace Blvd Ste 100
Frisco, TX 75033-3010

Mailing address

8795 Preston Trace Blvd Ste 100
Frisco, TX 75033-3010
Phone (214) 705-3728

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
I20111220000084 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9234304320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8795 Preston Trace Blvd
Suite 100
Frisco, TX 75033-3788
Phone (214) 705-3728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091547MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Dallas Primary Care Doctors PLLC Internal Medicine CurrentSince Aug 10, 2017 Accepting new patients
Geriatric Home Care Physicians PA Past Accepting new patients
Houston in Patient Physician Associates PLLC Past Accepting new patients

Locations

8795 Preston Trace Blvd
Ste 100
Frisco, TX 75033
Phone (214) 705-3728

7589 Preston Rd
Ste 600
Frisco, TX 75034
Phone (214) 705-3728

Interoperability endpoints

  • Direct secure messaging: suchitra.kamineni@ndpcd.eclinicaldirectplus.com

Organizations & group practices 3

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1851548622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 PRESTON TRACE BLVD STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333010",
            "telephone_number": "214-705-3728",
            "fax_number": "214-308-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8795 PRESTON TRACE BLVD STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333010",
            "telephone_number": "214-705-3728",
            "fax_number": "214-308-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINENI",
        "first_name": "SUCHITRA",
        "middle_name": "RAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091547",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.