Sambasiva Rao Sukhavasi, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

J3912 Issued in TX

Practice address

2300 Highway 365
Ste. 210
Nederland, TX 77627-6256

Phone

(409) 721-5155

Fax

(409) 722-6530

NPI assigned

Jun 21, 2005

Reactivated

Mar 27, 2006

Last updated

Apr 22, 2026By 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 1

Addresses

Other identifiers 3

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

Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
• The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518
• Pam Rehabilitation Hospital of Beaumont Inpatient rehabilitation facility, Beaumont, TX, CCN 453048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• Sambasiva R Sukhavasi MD PA

  • Pulmonary Disease Physician
  • Nederland, TX
  • NPI 1770957847
  Medicare reassignment NPD Authorized official
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• K Williamson and a Williamson, P.a.

  dba Williamson Family Medicine Associates

  • Family Medicine Physician
  • Port Arthur, TX
  • NPI 1912059270
  NPD (past)
• Permian Premier Health Services, Inc

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548031552
  NPD (past)
• Southeast Texas Nephrology Associates PA

  • Nephrology Physician
  • Nederland, TX
  • NPI 1376543074
  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Hsa Port Arthur, LLC

  • General Acute Care Hospital
  • Port Arthur, TX
  • NPI 1194548073
  Care Compare affiliation
• Pam Squared at Beaumont, LLC

  dba PAM Rehabilitation Hospital of Beaumont

  • Rehabilitation Hospital
  • Beaumont, TX
  • NPI 1831550680

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1508862954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 210",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276283",
            "telephone_number": "409-721-5155",
            "fax_number": "409-722-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE. 210",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-721-5155",
            "fax_number": "409-722-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 N 11th St Ste P3900",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021520",
            "country_code": "US",
            "telephone_number": "409-721-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUKHAVASI",
        "first_name": "SAMBASIVA",
        "middle_name": "RAO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J3912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099173901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J3912",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "466904ZSRT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacin Stansbury, NP
• Stateserv Medical of Texas, LLC
• Jessica Marie Stephens, FNP-C
• Steven Ian Rockman, M.D., PLLC
• Corynn Stokes, CCC/SLP
• Summit Solutions Group LLC (Texas Care Nederland)
• Sunshine Hospice LP (Harbor Hospice of Southeast Texas)
• Surgical Rehabilitation Center
• Teekam Lohano, MD PA
• Texas Health Care Group of the Golden Triangle, LLC (Southern Home Health)

• Pulmonary Disease Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.