SURACHIT KUMAR MD
NPI 1598996993
Internal Medicine - Nephrology in Dallas, TX

Q: What is Surachit Kumar's NPI number?

The NPI number for Surachit Kumar is 1598996993. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Q: What is Surachit Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Surachit Kumar was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2009PECOS EnrolledAccepts Medicare Assignment

9900 N CENTRAL EXPY, STE 215, DALLAS, TX 75231(214) 396-4950 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Surachit Kumar Md NPPES

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

SURACHIT KUMAR MD (NPI 1598996993) is an individual nephrology provider in Dallas, Texas, licensed in Texas (Q3394) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1598996993

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameSURACHIT KUMARCredential: MD

Location Address9900 N CENTRAL EXPY, STE 215Dallas, TX 75231-4395

Mailing Address9900 N Central Expy, Ste 215Dallas, TX 75231-4395 · (214) 396-4950

Phone(214) 396-4950

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 3, 2009

Last NPPES UpdateAugust 24, 2015

✔ NPI 1598996993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · Q3394

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

9900 N CENTRAL EXPY, Dallas, TX 75231

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Surachit Kumar 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 ID5395993059

PECOS Enrollment IDI20150414000067, I20251009003087, I20251009004281, I20260211003282

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.

Medicare Billing Reassignments

Medicare enrollment records show Surachit Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Straightline Medical Consultants

Same address

Nephrology

9900 N CENTRAL EXPY STE 215
Dallas, TX 75231

Reassigned Medicare billing, Texas enrollment
15 clinicians in this Medicare group

NPI 1487810164 (214) 396-4950

Access Telecare, PLLC

7.1 mi

Internal Medicine

1717 MAIN ST STE 5850
Dallas, TX 75201

Reassigned Medicare billing, Alabama, Florida, Missouri and Texas enrollments
149 clinicians in this Medicare group

NPI 1013303080 (972) 449-0540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

481 services165 patients

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.

353 services171 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

251 services61 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

214 services56 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

198 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

163 services128 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

159 services28 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

156 services44 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

142 services113 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

140 services74 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

118 services43 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.

62 services62 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

61 services60 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

55 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450537

Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County

Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Dallas Regional Medical Center

Acute Care Hospitals · Mesquite, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450688

Location1011 North Galloway AvenueMesquite, TX 75149 · Dallas County

Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450742

Location6800 Scenic DrRowlett, TX 75088 · Dallas County

Emergency services Birthing friendly

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number670060

Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%353 patients5/55-star benchmark: 100%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

100%199 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,262 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

71%419 patients3/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

18%49 patients1/55-star benchmark: 98%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%21 patients5/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 100% · 42 patients

100%45 patients

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

81%267 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%573 patients5/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

100%393 patients5/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

76%267 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

76%267 patients4/55-star benchmark: 79%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

SAMANTHA ANDERSON

Occupational Therapy Assistant

9900 N CENTRAL EXPY, SUITE 225
DALLAS, TX 75231

Dallas County (214) 265-0420

NIKOLE IBARRA SLP

Speech-Language Pathologist

9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231

Dallas County (214) 265-0420

JASON V. MATHEW

Occupational Therapist

9900 N CENTRAL EXPY, SUITE 225
DALLAS, TX 75231

Dallas County (214) 265-0420

CAYLA VAN VUREN

Speech-Language Pathologist

9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231

Dallas County (214) 265-0420

VANESSA C VALDEZ MS, CCC-SLP

Speech-Language Pathologist

9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231

Dallas County (214) 265-0420

MS. SARAH MCMENAMIN BACULI

Speech-Language Pathologist

9900 N CENTRAL EXPY
DALLAS, TX 75231

Dallas County (214) 265-0420

DR. CARL MENTESANA D.D.S.

Dentist (General Practice)

9900 N CENTRAL EXPY, SUITE # 350
DALLAS, TX 75231

Dallas County (214) 692-7800

VIVIAN CHENG SLP-A

Specialist/Technologist (Speech-Language Assistant)

9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231

Dallas County (214) 265-0420

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 Surachit Kumar's NPI number?

The NPI number for Surachit Kumar is 1598996993. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Where is Surachit Kumar located?

Surachit Kumar practices at 9900 N Central Expy Ste 215, Dallas, TX 75231. The listed phone number is (214) 396-4950.

What is Surachit Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Surachit Kumar enrolled in Medicare?

Yes. Surachit Kumar 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.

Which organizations bill Medicare for Surachit Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Surachit Kumar reassigns Medicare benefits to 2 organizations: Straightline Medical Consultants (Dallas, TX) and Access Telecare, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Surachit Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Surachit Kumar accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Surachit Kumar 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 Surachit Kumar affiliated with any hospitals?

According to CMS data, Surachit Kumar is affiliated with Methodist Richardson Medical Center, Medical City Plano, Dallas Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe and Baylor Scott And White Medical Center Sunnyvale.

When was this NPI record last updated?

The NPPES record for Surachit Kumar was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.