SHARON SAMUEL KORUTHU CPNP-PC
NPI 1033524020
Nurse Practitioner - Pediatrics in Dallas, TX

Q: What is Sharon Koruthu's NPI number?

The NPI number for Sharon Koruthu is 1033524020. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Q: What is Sharon Koruthu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Sharon Koruthu was last updated on February 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2014PECOS Enrolled

1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-7000 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Sharon Samuel Koruthu Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARON SAMUEL KORUTHU CPNP-PC (NPI 1033524020) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (AP125521) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033524020

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHARON SAMUEL KORUTHUCredential: CPNP-PC

Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701

Mailing Address2352 Comanche TrlGrand Prairie, TX 75052-8595 · (214) 893-5261

Phone(214) 456-7000

Sole ProprietorNo

Enumeration DateJune 27, 2014

Last NPPES UpdateFebruary 4, 2016

✔ NPI 1033524020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · AP125521

1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sharon Samuel Koruthu Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty