NAMRATA SUSARLA MD
NPI 1326538091
Internal Medicine in Joplin, MO

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
702 E 34TH ST STE 202, JOPLIN, MO 64804(417) 347-2525(417) 347-2552 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 27, 2022, Jan 12, 2022, May 17, 2018 (3 updates tracked since 2018).

About Namrata Susarla Md NPPES

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

NAMRATA SUSARLA MD (NPI 1326538091) is an individual internal medicine provider in Joplin, Missouri, licensed in Missouri (2021036900) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1326538091
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNAMRATA SUSARLACredential: MD
Location Address702 E 34TH ST STE 202Joplin, MO 64804-3921
Mailing Address2805 Ridgeview CtJoplin, MO 64801-8229 · (484) 343-7229
Fax(417) 347-2552
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 17, 2018
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
NPI 1326538091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2021036900
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

702 E 34TH ST STE 202, Joplin, MO 64804

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Namrata Susarla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486043478
PECOS Enrollment IDI20211112000996
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
200 services67 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
20 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
702 E 34TH ST STE 202
JOPLIN, MO 64804
Family Medicine
702 E 34TH ST STE 202
JOPLIN, MO 64804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Namrata Susarla's NPI number?

The NPI number for Namrata Susarla is 1326538091. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Namrata Susarla located?

Namrata Susarla practices at 702 E 34th St Ste 202, Joplin, MO 64804. The listed phone number is (417) 347-2525.

What is Namrata Susarla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Namrata Susarla enrolled in Medicare?

Yes. Namrata Susarla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Namrata Susarla accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Namrata Susarla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Namrata Susarla affiliated with any hospitals?

According to CMS data, Namrata Susarla is affiliated with Mercy Hospital Joplin and Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Namrata Susarla was last updated on April 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.