Sachin Suresh Kukreja, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

P5098 Issued in TX

Practice address

1411 N Beckley Ave Ste 454
Dallas, TX 75203-1262

Phone

(469) 620-0222

Fax

(469) 620-0223

NPI assigned

Aug 11, 2008

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

General Surgery

Education

University of Texas Medical School at San Antonio, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Divali Docs, PLLCGroup PAC ID 0840571857, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
• Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sachin.kukreja@misa.eclinicaldirectplus.com

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.

• Divali Docs, PLLC

  dba DFW Bariatrics and General Surgery

  • Surgery Physician
  • Dallas, TX
  • NPI 1952859126
  Medicare reassignment Care Compare group Authorized official
• NTX Surgical Consultants PLLC

  • Surgery Physician
  • Dallas, TX
  • NPI 1851261309
  Medicare reassignment NPD Authorized official

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

• Columbia Hospital at Medical City Dallas Subsidiary LP

  dba Medical City Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  dba Medical City Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation
• Texas Health Hospital Mansfield

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1356960132
  Care Compare affiliation
• Usmd Hospital at Arlington, LLC

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1659352987
  Care Compare affiliation

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1528214590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031262",
            "telephone_number": "469-620-0222",
            "fax_number": "469-620-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031262",
            "telephone_number": "469-620-0222",
            "fax_number": "469-620-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 W Parker Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750933369",
            "country_code": "US",
            "telephone_number": "972-767-9299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Matlock Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634435",
            "country_code": "US",
            "telephone_number": "817-952-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKREJA",
        "first_name": "SACHIN",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P5098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Victor Kuhn, D.C.
• Julie Kuhn
• Suzanne M Kuhn, LCSW
• Erin M Kuiper
• Shari Lee Kuklinski, SLP
• Ketki Avinash Kulkarni
• Kshma Kulkarni
• Nupur Kulkarni
• Rumali Kulkarni, DPT
• Samir Kulkarni, M.D.

• Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.