Suresh N. Gadasalli,M.D.,P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SURESH N. GADASALLI,M.D.,P.A.

Practice address

2651 Kermit Hwy
Odessa, TX 79763-2542

Phone

(432) 333-3637

NPI assigned

May 30, 2007

Organization subpart

Yes

Parent organization

THE HEALTHY HEART CENTERAs reported in NPPES

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

Authorized official

Name

Sowjanya Sudesh

Title

Administrator

Phone

(432) 580-5891

Specialties & licenses 1

Addresses

Other names 1

• UNIVERSITY PROMPT CARE Other name

Tax ID family

Porompt Care Clinic2 organizations share this tax ID, including this one

Part of

Porompt Care Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suresh N. Gadasalli,M.D.,P.a.

  • General Practice Physician
  • Odessa, TX
  • NPI 1912028010
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina M Butler, P.A-C

  • Medical Physician Assistant
  • Odessa, TX
  • NPI 1154417202
  NPD (past)
• Staci A Pavelka, FNP

  • Nurse Practitioner
  • The Woodlands, TX
  • NPI 1851487821
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1043411531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797600362",
            "telephone_number": "432-580-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 KERMIT HWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632542",
            "telephone_number": "432-333-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH N. GADASALLI,M.D.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTHY HEART CENTER",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SUDESH",
        "authorized_official_first_name": "SOWJANYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-580-5891"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY PROMPT CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kranthi Lakshmi Sunkara
• Sunswet LLC
• Superior Ambulance
• Devi Priya Suravajjala, MD
• Suresh N Gadasalli M D P a
• Suresh N. Gadasalli,M.D.,P.a.
• Suresh Prasad MD PA
• Oam Suriyamont, PHARMD
• Susan Van de Water, MD, PA
• Sushruta Surgical Associates PLLC

• General Practice Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.