Individual provider Active NPI

Randa Soukieh, M.D.

  • Family Medicine Physician
  • Wylie, TX
National Provider Identifier
1871948570
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T8357 Issued in TX
Practice address
2806 W FM 544
Wylie, TX 75098-7022
Phone
(972) 226-8900
NPI assigned
Apr 30, 2016
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T8357 TX Primary

Addresses

Primary practice location

2806 W FM 544
Wylie, TX 75098-7022

Mailing address

2806 W FM 544
Wylie, TX 75098-7022
Phone (972) 226-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191026000009 NC Practitioner - Family Practice 7719270156 Reassigns benefits to 1 organization
I20221213001188 TX Practitioner - Family Practice 7719270156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5830 Collin McKinney Pkwy
Suite 302
McKinney, TX 75070-5109
Phone (319) 573-7317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T8357TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heal 360 Urgent Care, LLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 3, 2019 Accepting new patients
Heal 360 Primary Care PLLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Alfarra Soukieh PLLC Family Medicine CurrentSince Aug 5, 2024 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1204 Brown St
Washington, NC 27889
Phone (252) 946-6544

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

1360 Star Ct
Ste T1
Plano, TX 75074
Phone (972) 200-7402

4013 14th St
Ste 401
Plano, TX 75074
Phone (469) 814-9523

2806 W FM 544
Wylie, TX 75098

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHFDD/Endpoint/IEHFDD
  • Direct secure messaging: randa.soukieh.1@18152.direct.athenahealth.com
  • Direct secure messaging: randa.soukieh.1@18822.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1871948570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 W FM 544",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987022",
            "telephone_number": "972-226-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 W FM 544",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987022",
            "telephone_number": "972-226-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUKIEH",
        "first_name": "RANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-30",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T8357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.