Shanker Sundrani, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

L2019 Issued in TX

Practice address

3028 Trawood Dr
Suite C
El Paso, TX 79936-3885

Phone

(915) 590-1890

Fax

(915) 590-1952

NPI assigned

Aug 12, 2005

Reactivated

Mar 27, 2006

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Paso Neurosurgery Center, P.a.

  • Neurological Surgery Physician
  • El Paso, TX
  • NPI 1699815944
  Authorized official Same address or phone
• Professional Radiology PLLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1861918815
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1417959198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 TRAWOOD DR",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363885",
            "telephone_number": "915-590-1890",
            "fax_number": "915-590-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 TRAWOOD DR",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363885",
            "telephone_number": "915-590-1890",
            "fax_number": "915-590-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDRANI",
        "first_name": "SHANKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2017-02-21",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L2019",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR PROVIDER",
            "identifier": "200402600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062432-06",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34039376",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE PROVIDER",
            "identifier": "7450354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chuang Sun
• Jack Jen-Kuei Sun, D.O.
• Yan Sun
• Suncity Health Care Services LLC
• Sundesert Neurology PLLC
• Sunflower Home Care LLC
• Helen Minjung Sung, M.D.
• Bharathi Sunil, MD
• Sunland Dental Care, PLLC (Sunny Smiles)
• Sunland Health & Home Care Inc

• Neurological Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.