Alexander P. Sudarshan MD PA
Organization Active NPI Ophthalmology Physician · Brownsville, TX
NPI 1295014389 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1295014389
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- G5668 (TX)
- Legal business name
- ALEXANDER P. SUDARSHAN MD PA
- Practice address
- 1058 E Los Ebanos Blvd
Brownsville, TX 78520-9988 - Phone
- (956) 541-4828
- Fax
- (956) 541-4568
- NPI assigned
- Aug 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Alexander Pradip Sudarshan, MD
- Title
- President
- Phone
- (956) 541-4828
Practitioners 12
-
Hosam Attia, M.D.
-
Carlos Eduardo Pessoa, O.D.
-
Ronald Wayne Richardson, O.D.
-
Walter David Wilkins, PA-C, MPAS
-
Ronald A Hirn, OD
-
Jake Julian Trinidad, M.D.
-
Shehzad Y Batliwala, D.O
-
Enrique Eduardo Calderon, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111014000325 | TX | Part B Supplier - Clinic/Group Practice | 7113199217 |
Receives reassigned benefits from 12 practitioners Practice locations: Brownsville, TX; Weslaco, TX |
| O20120209000367 | TX | DME Supplier - Physician - Ophthalmology | 7113199217 | Practice locations: Brownsville, TX |
National Provider Directory
Locations
1058 E Los Ebanos Blvd
Brownsville, TX 78520
Phone (956) 541-4828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 6901TG | TX | |
| Optometrist |
152W00000X | 3479TG | TX | |
| Ophthalmology Physician |
207W00000X | G5668 | TX | Yes |
| Ophthalmology Physician |
207W00000X | J6751 | TX |
Addresses
Primary practice location
1058 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Mailing address
1058 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone (956) 541-4828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286292201 | Medicaid | TX |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alexander.sudarshan.p1@direct.theeyeexperts.nextgenshare.com | Direct |
Other providers in Brownsville, TX
- Aldon B. Williams, MD, PA
- Josue Isai Aldrete
- Alegre Encuentro Adc610642
- Christine Ellen Alejandro
- Brenda Michelle Alejos
- Alexander Pradip Sudarshan
- Fadi Alfayoumi
- Mir S Ali
- Alivio Home Health Inc
- Alivio Pain & Injury Recovery Center Inc
All providers in Brownsville, TX · Ophthalmology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.