Individual provider Active NPI

Suja Perakathu, M.D.

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1972897874
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0470 Issued in TX
Practice address
597 W Sesame Dr
Suite B
Harlingen, TX 78550-8364
Phone
(956) 622-3157
Fax
(956) 622-3409
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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 P0470 TX Primary

Addresses

Primary practice location

597 W Sesame Dr
Suite B
Harlingen, TX 78550-8364

Mailing address

597 W Sesame Dr Ste B
Harlingen, TX 78550-8366
Phone (956) 423-3343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 7, 2021 through Jul 7, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Specialty Network Inc Past Accepting new patients

Organizations & group practices 1

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1972897874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508366",
            "telephone_number": "956-423-3343",
            "fax_number": "956-622-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR",
            "address_2": "SUITE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508364",
            "telephone_number": "956-622-3157",
            "fax_number": "956-622-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAKATHU",
        "first_name": "SUJA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.