Individual provider Active NPI

Sushma Arramraju, M.D

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1881834158
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4807 Issued in TX
Practice address
515 Gaslight Blvd
Lufkin, TX 75904-3127
Phone
(936) 631-5600
Fax
(936) 634-8309
NPI assigned
Feb 26, 2009
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 D0074769 MD
Internal Medicine Physician 207R00000X R4807 TX Primary

Addresses

Primary practice location

515 Gaslight Blvd
Lufkin, TX 75904-3127

Mailing address

515 Gaslight Blvd
Lufkin, TX 75904-3127
Phone (936) 631-6000

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
I20171102001605 TX Practitioner - Internal Medicine 3779767348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 Gaslight Blvd
Lufkin, TX 75904-3127
Phone (936) 631-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074769MDMDInternal Medicine Physician
R4807TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Oct 6, 2017 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine CurrentSince Oct 6, 2017 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
Epic Internal Medicine PLLC Internal Medicine CurrentSince Jun 14, 2021 Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
Anthem Medical Healthcare, PC Internal Medicine Past Accepting new patients
East Texas Internal Medicine PA Internal Medicine PastSince Jun 14, 2021 Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients

Locations

1 Medical Center Blvd
Lufkin, TX 75904
Phone (936) 631-5600

10 Medical Center Blvd
Ste B
Lufkin, TX 75904
Phone (409) 853-1885

515 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 631-5600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEADCD/Endpoint/CEADCD

Organizations & group practices 8

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 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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1881834158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "936-631-6000",
            "fax_number": "936-632-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "936-631-5600",
            "fax_number": "936-634-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRAMRAJU",
        "first_name": "SUSHMA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0074769",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R4807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.