Individual provider

Suparna Nanua, MD PHD

Clinical Pathology/Laboratory Medicine Physician Medicare enrolled

Suparna Nanua, MD PHD is a Clinical Pathology/Laboratory Medicine Physician in Round Rock, TX, registered under NPI 1104023084.

Getting there

The practice address on file is 425 UNIVERSITY BLVD STE 500, Round Rock, TX 78665. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

425 UNIVERSITY BLVD STE 500, Round Rock, TX 78665 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
307769 NY Clinical Pathology/Laboratory Medicine… primary
04-35424 KS Clinical Pathology/Laboratory Medicine…
2010037369 MO Clinical Pathology/Laboratory Medicine…

Licences are recorded in 3 states: NY, KS, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pathology
PAC ID
9931379054
Enrollment ID
I20201224000666

Medicare enrolment is recorded as approved under the provider type Practitioner - Pathology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Kansas, Missouri and New York. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KS Kansas
Licence
04-35424
Specialty
Clinical Pathology/Laboratory Medicine…
Verify with the KS board →
MO Missouri
Licence
2010037369
Specialty
Clinical Pathology/Laboratory Medicine…
Verify with the MO board →
NY New York
Licence
307769
Specialty
Clinical Pathology/Laboratory Medicine…
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Clinical Pathology/Laboratory Medicine covers

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. NUCC Health Care Provider Taxonomy, code 207ZP0105X
Allopathic & Osteopathic Physicians Pathology Clinical Pathology/Laboratory Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ZP0105X Clinical Pathology/Laboratory Medicine Physician Clinical Pathology/Laboratory Medicine 307769 NY primary
207ZP0105X Clinical Pathology/Laboratory Medicine Physician Clinical Pathology/Laboratory Medicine 04-35424 KS
207ZP0105X Clinical Pathology/Laboratory Medicine Physician Clinical Pathology/Laboratory Medicine 2010037369 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104023084 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 2, 2007
Last updatedFeb 8, 2023
StatusActive
Sole proprietorNo
CredentialMD PHD
Practice address 425 UNIVERSITY BLVD STE 500
Round Rock, TX 78665
(512) 509-3750
The last update on file is Feb 8, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104023084 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 2 3 0 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 2 6 0 7

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104023084?
NPI 1104023084 is the National Provider Identifier assigned to Suparna Nanua, MD PHD in Round Rock, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical Pathology/Laboratory Medicine cover?
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and…
How do I contact Suparna Nanua, MD PHD?
The phone number on file with NPPES is (512) 509-3750, last updated Feb 8, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Suparna Nanua, MD PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104023084 a valid number?
Yes. 1104023084 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.