Uma Sukhavasi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6348 Issued in TX

Practice address

2501 Jimmy Johnson Blvd
Ste 301
Port Arthur, TX 77640-2007

Phone

(409) 721-5155

Fax

(409) 722-6530

NPI assigned

Jun 21, 2005

Reactivated

Mar 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Care Medical Services Inc

  • Family Medicine Physician
  • Houston, TX
  • NPI 1740298868
  NPD (past)
• Sambasiva R Sukhavasi MD PA

  • Pulmonary Disease Physician
  • Nederland, TX
  • NPI 1770957847
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013913466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "STE 304",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-721-5155",
            "fax_number": "409-722-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "STE 301",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-721-5155",
            "fax_number": "409-722-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHAVASI",
        "first_name": "UMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Stevens, PT
• John Harlan Stewart, MD
• Strandz Medical Prosthetics LLC
• Barbara Marie Stubee, M.D.
• Christopher Paul Suire
• Carlette A Sullivan, PHARMACIST
• Joshua Eugene Talbert, MD
• Jana Tatum, MA,LPC
• Katherine Lafleur Tatum, M.S., CCC-SLP
• John R Taylor

• Family Medicine Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.