NPIMap

Individual provider Active NPI

Sunil Kurup, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1952532988
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
Q6440 Issued in TX
Practice address
2821 Routh St
Dallas, TX 75201-1414
Phone
(214) 296-0269
Fax
(469) 212-1188
NPI assigned
Aug 8, 2009
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42903 AZ
Family Medicine Physician 207Q00000X 0101246205 VA
Sports Medicine (Family Medicine) Physician 207QS0010X Q6440 TX Primary

Addresses

Primary practice location

2821 Routh St
Dallas, TX 75201-1414

Mailing address

2821 Routh St
Dallas, TX 75201-1414
Phone (214) 296-0269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828002113 TX Practitioner - Family Practice 9830223817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galveston Physical Medicine PLLCGroup PAC ID 1557519741, 3 clinicians

Practice addresses (Care Compare)

2724 61St St
Suite 5
Galveston, TX 77551-1800
Phone (409) 744-9355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42903AZMDFamily Medicine Physician
0101246205VAMDFamily Medicine Physician
Q6440TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golabs CB&J Relief PLLC Family Medicine CurrentSince Apr 10, 2023 Accepting new patients
Spinalworks Medical Group, PLLC CurrentSince Feb 1, 2020 Accepting new patients
Galveston Physical Medicine PLLC CurrentSince Dec 1, 2022 Accepting new patients
Hilltop Integrated Healthcare PLLC PastSince Oct 13, 2023 Accepting new patients
Duchon Chiropractic PastSince Dec 1, 2022 Accepting new patients
Aderis Health Technologies Sports Medicine Past Accepting new patients
Mesk Medical Group Family Medicine Past Accepting new patients
South Garland Medical PLLC PastSince Oct 9, 2019 Accepting new patients
1977 Mesk Family Medicine PastSince Jul 1, 2025 Accepting new patients
Spinalworks, PLLC PastSince Feb 23, 2020 Accepting new patients
1977 Enterprise LLC Sports Medicine Past Accepting new patients

Locations

2821 Routh St
Dallas, TX 75201
Phone (214) 296-0269

2724 61st St
Ste 5
Galveston, TX 77551
Phone (409) 744-9355

1205 N Loop 1604 W
Ste 211
San Antonio, TX 78258
Phone (210) 764-8888

Organizations & group practices 11

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 1

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": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1952532988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 ROUTH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011414",
            "telephone_number": "214-296-0269",
            "fax_number": "469-212-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ROUTH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011414",
            "telephone_number": "214-296-0269",
            "fax_number": "469-212-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUP",
        "first_name": "SUNIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-08",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42903",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246205",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q6440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.