Individual provider Active NPI

Sukumar Gandra, M.D

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1972921054
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V4911 Issued in TX
Practice address
2221 8TH Ave
Fort Worth, TX 76110-1812
Phone
(817) 336-5060
Fax
(817) 336-1744
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33720 OK
Hospitalist Physician 208M00000X 33720 OK
Internal Medicine Physician 207R00000X V4911 TX Primary

Addresses

Primary practice location

2221 8TH Ave
Fort Worth, TX 76110-1812

Mailing address

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Other practice location 1

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-1941

Other identifiers 1

IdentifierTypeStateIssuer
20080200AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, 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
I20181017003224 OK Practitioner - Internal Medicine 6709157258 Reassigns benefits to 2 organizations
I20250618001472 TX Practitioner - Internal Medicine 6709157258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis AssociatesGroup PAC ID 1557308319, 25 clinicians

Practice addresses (Care Compare)

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Hospital & facility affiliations

  • Tarrant County Campus Dialysis Dialysis facility, Fort Worth, TX, CCN 672517
  • FKC South Arlington Dialysis facility, Arlington, TX, CCN 742723
  • FKC East Fort Worth Dialysis facility, Fort Worth, TX, CCN 452563
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33720OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Associates CurrentSince Aug 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 2, 2018 Accepting new patients
Warren Clinic Inc CurrentSince Jan 2, 2019 Accepting new patients
Arlington Eye Physicians, PA PastSince Nov 1, 2003 Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients

Locations

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1710 Oak Village Blvd
Ste 150
Arlington, TX 76017
Phone (817) 275-1900

2221 8th Ave
Fort Worth, TX 76110

919 Travis Ave
Fort Worth, TX 76104
Phone (817) 810-0700

Interoperability endpoints

  • Direct secure messaging: sgandra65587@direct.acumenmd.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1972921054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361902",
            "country_code": "US",
            "telephone_number": "918-502-1941",
            "fax_number": "918-494-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDRA",
        "first_name": "SUKUMAR",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "33720",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "33720",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V4911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20080200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.