NPIMap

Individual provider Active NPI

Sriram Sudarshan, MD

  • Cardiovascular Disease Physician
  • Wichita Falls, TX
National Provider Identifier
1285696492
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F7628 Issued in TX
Practice address
2101 9TH St
Wichita Falls, TX 76301-4133
Phone
(940) 766-4488
Fax
(940) 322-5765
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F7628 TX Primary

Addresses

Primary practice location

2101 9TH St
Wichita Falls, TX 76301-4133

Mailing address

2 Paluxy Cir
Wichita Falls, TX 76309-1428
Phone (940) 691-5551

Other identifiers 1

IdentifierTypeStateIssuer
133836006MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080201000293 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668373507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kell West Regional Hospital LLCGroup PAC ID 2365435898, 2 clinicians

Practice addresses (Care Compare)

2101 9TH St
Wichita Falls, TX 76301-4133
Phone (940) 766-4488

5420 Kell Blvd
Wichita Falls, TX 76310-1610
Phone (940) 692-5888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as individual
Quality
89.88
Promoting interoperability
87
Improvement activities
40
Cost
73.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F7628TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Cardiology Center, LLP Cardiovascular Disease CurrentSince Jan 1, 1981 Accepting new patients
United Regional Health Care System Inc CurrentSince Aug 1, 1980 Accepting new patients
Kell West Regional Hospital LLC CurrentSince Jul 1, 2001 Accepting new patients

Locations

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

5420 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 692-5888

2101 9th St
Wichita Falls, TX 76301
Phone (940) 766-3190

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/14520/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ssudarshan14799@unitedregional.medalliesdirect.net
  • Direct secure messaging: sriram.sudarshan.1@14520.direct.athenahealth.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1285696492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PALUXY CIR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091428",
            "telephone_number": "940-691-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014133",
            "telephone_number": "940-766-4488",
            "fax_number": "940-322-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDARSHAN",
        "first_name": "SRIRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F7628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133836006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.