Individual provider Active NPI

Soundari Gurusamy, M.D.

  • Hospitalist Physician
  • Tallahassee, FL
National Provider Identifier
1982882122
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME110591 Issued in FL
Practice address
1300 Miccosukee Rd
Hospitalist Group
Tallahassee, FL 32308-5054
Phone
(850) 431-4996
Fax
(850) 431-6315
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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 57013973 OH
Hospitalist Physician 208M00000X ME110591 FL Primary

Addresses

Primary practice location

1300 Miccosukee Rd
Hospitalist Group
Tallahassee, FL 32308-5054

Mailing address

1300 Miccosukee Rd
Hospitalist Group
Tallahassee, FL 32308-5054
Phone (850) 431-4996

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
I20160512001646 TX Practitioner - HospitalistPractitioner - Internal Medicine 8325236375 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57013973OHMDInternal Medicine Physician
ME110591FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 15, 2018 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 5, 2020 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Covenant Medical Center Past Accepting new patients

Locations

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 6

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 4

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1982882122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "address_2": "HOSPITALIST GROUP",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-4996",
            "fax_number": "850-431-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "address_2": "HOSPITALIST GROUP",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-4996",
            "fax_number": "850-431-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUSAMY",
        "first_name": "SOUNDARI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57013973",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME110591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.