Sivaram Sudhakar, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

H7836 Issued in TX

Practice address

1901 Medi Park
Suite # 1062
Amarillo, TX 79106

Phone

(806) 463-1652

Fax

(806) 463-1736

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bsa Hospital LLCGroup PAC ID 6305090762, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssudhakar84210@ahs.direct-ci.com

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.

• Bsa Hospital LLC

  • Vascular & Interventional Radiology Physician
  • Amarillo, TX
  • NPI 1609112069
  Medicare reassignment Care Compare group NPD
• Northwest Texas Healthcare System Inc

  • Other Specialist/Technologist
  • Amarillo, TX
  • NPI 1154347987

  Neurology

  Medicare reassignment NPD
• Bsa Hospital, LLC

  • Land Ambulance
  • Canyon, TX
  • NPI 1417456583
  NPD
• Northwest Texas Healthcare System, Inc

  • Multi-Specialty Clinic/Center
  • Amarillo, TX
  • NPI 1962434860
  NPD
• Baptist St. Anthony'S Hospital Corporation

  • Vascular & Interventional Radiology Physician
  • Amarillo, TX
  • NPI 1376510347
  NPD (past)
• Wyatt Clinic, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1639280431
  NPD (past)

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Northwest Texas Healthcare System Inc

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1497844112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK",
            "address_2": "SUITE # 1062",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-463-1652",
            "fax_number": "806-463-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK",
            "address_2": "SUITE # 1062",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-463-1652",
            "fax_number": "806-463-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDHAKAR",
        "first_name": "SIVARAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H7836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "H7836",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130454506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Stuart, R.N. CASE MANAGER
• Sharon Stubbs, CRNA
• Melynda Anne Sturdevant, RN
• Zabrinia Suber, MS, CCC-SLP
• Muhammad Subhani, MD
• Carisa R Sullivan, FNP-C
• Crystal Summers, COTA
• Surgery Center of Amarillo, LLC
• Susan B Goetz MD PA
• James Kirby Sutterfield, MA, LPC-S, LCDC

• Neurology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.
• 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.

Verify at the official NPI Registry.