Active NPI
Sukesh C Burjonroppa, M.D.
- Interventional Cardiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- M9891
- Practice address
- 1300 W Terrell Ave Ste 500
Fort Worth, TX 76104-2810 - Phone
- (817) 252-5000
- NPI assigned
- Jan 31, 2007
- Last updated
- Nov 6, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | M9891 | TX | |
| Nuclear Cardiology Physician | 207UN0901X | M9891 | TX | |
| Interventional Cardiology Physician | 207RI0011X | M9891 | TX | Primary |
Addresses
Primary practice location
1300 W Terrell Ave Ste 500
Fort Worth, TX 76104-2810
Mailing address
1900 Mistletoe Blvd
Ste 100
Fort Worth, TX 76104-4048
Phone (817) 338-1300
Other practice location 1
1400 8th Ave
Fort Worth, TX 76104-4110
Phone (817) 927-6224
Other practice location 2
1900 Mistletoe Blvd
Suite 100
Fort Worth, TX 76104-4014
Phone (817) 333-8130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196963602 | Medicaid | TX |
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
- Interventional Cardiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 W Terrell Ave
Suite 500
Fort Worth, TX 76104-2821
Phone (817) 252-5000
Hospital & facility affiliations
- Texas Health Harris Methodist Fort Worth
- Texas Health Harris Methodist Hospital Southwest F
- Texas Health Heart & Vascular Hospital Arlington
- Texas Health Harris Methodist Hospital Stephenvill
- Texas Health Harris Methodist Hospital Cleburne
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.77 of 100
- Quality
- 75.29
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 53.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 51 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Cardiac Cath Lab of Fort Worth LP | Current | Accepting new patients | |
| Fort Worth Heart, P.a. | Current | Accepting new patients | |
| Texas Health Physicians Group | Cardiovascular Disease | Current | Accepting new patients |
| Texas Health Physicians Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
6100 Harris Pkwy
Ste 1200
Fort Worth, TX 76132
Phone (817) 263-3724
1300 W Terrell Ave
Ste 420
Ft Worth, TX 76104
Phone (817) 250-6570
1300 W Terrell Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 252-5000
1900 Mistletoe Blvd
Ste 100
Ft Worth, TX 76104
Phone 8173381300236
6949 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 332-1818
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
1312 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-1855
Interoperability endpoints
- sburjonroppa57966@direct.texashealth.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Texas Health Heart & Vascular Hospital | Hospital | Other (1.05%) | Sep 10, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Texas Health Heart & Vascular Hospital Arlington
- Special Hospital
- Arlington, TX
- NPI 1407169196
Other
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Cardiovascular Disease
-
dba Heart and Vascular Center of Fort Worth
- Multi-Specialty Clinic/Center
- Fort Worth, TX
- NPI 1649510991
-
- Medical Specialty Clinic/Center
- Fort Worth, TX
- NPI 1801939244
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
Cardiovascular Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Texas Health Heart & Vascular Hospital Arlington
- Special Hospital
- Arlington, TX
- NPI 1407169196
-
- General Acute Care Hospital
- Cleburne, TX
- NPI 1396778064
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
-
- General Acute Care Hospital
- Stephenville, TX
- NPI 1922031541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1467599134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MISTLETOE BLVD",
"address_2": "STE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044048",
"telephone_number": "817-338-1300",
"fax_number": "682-747-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE STE 500",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042810",
"telephone_number": "817-252-5000"
}
],
"practiceLocations": [
{
"address_1": "1400 8th Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044110",
"country_code": "US",
"telephone_number": "817-927-6224",
"fax_number": "817-927-6226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Mistletoe Blvd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044014",
"country_code": "US",
"telephone_number": "817-333-8130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURJONROPPA",
"first_name": "SUKESH",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "M9891",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "TX",
"license": "M9891",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "M9891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196963602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.