Active NPI
Thomas Stephen Sudela, MD
- Obstetrics & Gynecology Physician
- Rockwall, TX
National Provider Identifier
1093704686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E6639
- Practice address
- 2504 Ridge Road
Suite 201
Rockwall, TX 75087 - Phone
- (972) 722-0404
- Fax
- (972) 722-7082
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E6639 | TX | Primary |
Addresses
Primary practice location
2504 Ridge Road
Suite 201
Rockwall, TX 75087
Mailing address
2504 Ridge Road
Suite 201
Rockwall, TX 75087
Phone (972) 722-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114204402 | Medicaid | TX | |
| E6639 | Other | TX | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at Houston, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2504 Ridge Rd
Suite 201
Rockwall, TX 75087-2571
Phone (972) 722-0404
Hospital & facility affiliations
- Baylor Scott and White Medical Center Lake Pointe
- Texas Health Presbyterian Hospital Rockwall
- Hunt Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas S Sudela MD PA | Current | Accepting new patients |
Locations
2504 Ridge Rd
Ste 201
Rockwall, TX 75087
Phone (469) 697-7300
6900 Scenic Dr
Ste 101
Rowlett, TX 75088
Phone (972) 475-7122
Organizations & group practices 1
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.
-
- Obstetrics Physician
- Rockwall, TX
- NPI 1821186545
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Plano, TX
- NPI 1184663163
Hospital
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1114035383
Hospital
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
- General Acute Care Hospital
- Rockwall, TX
- NPI 1629138029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1093704686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 RIDGE ROAD",
"address_2": "SUITE 201",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "75087",
"telephone_number": "972-722-0404",
"fax_number": "972-722-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 RIDGE ROAD",
"address_2": "SUITE 201",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "75087",
"telephone_number": "972-722-0404",
"fax_number": "972-722-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDELA",
"first_name": "THOMAS",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "E6639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114204402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "E6639",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.
- 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.