SUSMITHA ISSAC
NPI 1639964141
Student in an Organized Health Care Education/Training Program in Amarillo, TX

Q: What is Susmitha Issac's NPI number?

The NPI number for Susmitha Issac is 1639964141. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Q: What is Susmitha Issac's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Susmitha Issac was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 14, 2025PECOS Enrolled

1400 S COULTER ST STE 2500, AMARILLO, TX 79106(806) 414-9100(806) 354-5717 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susmitha Issac NPPES

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

SUSMITHA ISSAC (NPI 1639964141) is an individual student in an organized health care education/training program in Amarillo, Texas and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639964141

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSUSMITHA ISSAC

Location Address1400 S COULTER ST STE 2500Amarillo, TX 79106-1786

Mailing Address1400 S Coulter St Ste 2500Amarillo, TX 79106-1786 · (806) 414-9100 · Fax (806) 354-5717

Phone(806) 414-9100

Fax(806) 354-5717

Sole ProprietorNo

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1639964141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 S COULTER ST STE 2500, Amarillo, TX 79106

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susmitha Issac 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.

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.

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