Airline Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

AIRLINE PEDIATRICS, P.A.

Practice address

601 E Airline Rd
Victoria, TX 77901-3926

Phone

(361) 575-8500

Fax

(361) 575-8416

NPI assigned

Mar 7, 2007

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suresh N Pathikonda, M.D,NPI 1508804121

Title

Owner

Phone

(361) 575-8500

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Suresh N. Pathikonda, M.D, P.A. Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh N Pathikonda, M.D.

  • Pediatrics Physician
  • Victoria, TX
  • NPI 1508804121
  NPD (past) Authorized official
• Maya S Pathikonda, M.D.

  • Pediatrics Physician
  • Victoria, TX
  • NPI 1578504619
  NPD (past)
• Olivia Lea Sager, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • Victoria, TX
  • NPI 1649676198
  NPD (past)
• Malarvizhi Thangavelu, MD

  • Pediatrics Physician
  • Victoria, TX
  • NPI 1972099166
  NPD (past)
• David Huante, MD

  • Pediatrics Physician
  • Mount Vernon, WA
  • NPI 1427619899
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1073644852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013926",
            "telephone_number": "361-575-8500",
            "fax_number": "361-575-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013926",
            "telephone_number": "361-575-8500",
            "fax_number": "361-575-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "PATHIKONDA",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-575-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079684902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0039AZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079684901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suresh N. Pathikonda, M.D, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hany Ahmed, DDS
• Taha Mohammed Ahmed
• Yasir Ahmed, M.D.
• Roy John Aimone, MD
• Cynthia M Airhart, D.C.
• Ajay Gaalla, P a
• Arnel Robert Alcasabas, O.D.
• Eva Cancino Aleman, M ED LPC
• Justin Alexander, M.A., LPC
• Alfred a Kopecky, MD, P.a.

• Pediatrics Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.