NPI age
10 years
Enumerated 2016-05-19
● Active
Type 1 · Individual
Soumya Mamidi
Mamidi is 1 of 118 internal medicine providers in Longview and 1 of 12343 in Texas.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 12343 active internal medicine providers in Texas.
NPI age
10 years
↓ 7 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
700 E Marshall Ave
Longview, TX 756015580
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
1 secondary location on file with NPPES.
Location 2
111 E 210th St
Bronx, NY 104672401
Specialties
-
Internal Medicine PrimaryA 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,...
-
Student in an Organized Health Care Education/Training ProgramAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P02351974 | MEDICARE RAIL ROAD |
| 05 (TX) | 406177201 |
Practice context
Part of a multi-provider practice. 165 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.