Individual provider Active NPI

Susan Somogyi Jarrell, M.D.

  • Family Medicine Physician
  • Angleton, TX
National Provider Identifier
1912298308
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7773 Issued in TX
Practice address
146 E Hospital Dr Ste 102
Angleton, TX 77515-4170
Phone
(979) 864-3034
NPI assigned
Apr 20, 2011
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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 K7773 TX Primary

Addresses

Primary practice location

146 E Hospital Dr Ste 102
Angleton, TX 77515-4170

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

201 That Way St
Lake Jackson, TX 77566-5211
Phone (713) 442-3500

Other names 1

  • Susan Gwen Somogyi Other name

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
I20150313001151 TX Practitioner - Family Practice 8224354071 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7773TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
Utmb Faculty Group Practice CurrentSince Feb 27, 2015 Accepting new patients

Locations

146 E Hospital Dr
Ste 102
Angleton, TX 77515
Phone (713) 795-5155

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

201 That Way St
Lake Jackson, TX 77566
Phone (713) 442-3500

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

4616 Broadway St
Ste F
Pearland, TX 77581
Phone (281) 485-3220

Interoperability endpoints

  • Direct secure messaging: sjarrell36849@direct.kelsey-seybold.com

Organizations & group practices 2

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1912298308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 102",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154170",
            "telephone_number": "979-864-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 That Way St",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665211",
            "country_code": "US",
            "telephone_number": "713-442-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "SUSAN",
        "middle_name": "SOMOGYI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SOMOGYI",
            "middle_name": "GWEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.