Active NPI
Sundeep S Lal, MD
- Pain Medicine Physician
- Victoria, TX
National Provider Identifier
1104818095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- N9382
- Practice address
- 2705 Hospital Dr
Ste 206
Victoria, TX 77901-5775 - Phone
- (361) 582-7989
- Fax
- (361) 582-7990
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E3708 | AR | |
| Pain Medicine Physician | 208VP0000X | N9382 | TX | Primary |
Addresses
Primary practice location
2705 Hospital Dr
Ste 206
Victoria, TX 77901-5775
Mailing address
2705 Hospital Dr
Ste 206
Victoria, TX 77901-5775
Phone (361) 582-7989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150135001 | Medicaid | AR |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3708 | AR | MD | Orthopaedic Surgery Physician |
| N9382 | TX | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundeep Lal PA | Pain Medicine | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Ozarks Medical Center | Pain Medicine | Past | Accepting new patients |
| Orthoarkansas, P.a. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2705 Hospital Dr
Ste 206
Victoria, TX 77901
Phone (361) 574-1899
Organizations & group practices 4
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.
-
- Pain Medicine Physician
- Victoria, TX
- NPI 1639506314
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Orthopaedic Surgery Physician
- Little Rock, AR
- NPI 1932191822
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1104818095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 HOSPITAL DR",
"address_2": "STE 206",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015775",
"telephone_number": "361-582-7989",
"fax_number": "361-582-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 HOSPITAL DR",
"address_2": "STE 206",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015775",
"telephone_number": "361-582-7989",
"fax_number": "361-582-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAL",
"first_name": "SUNDEEP",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "E3708",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "N9382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150135001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.