Individual provider Active NPI

Sudheer Reddy Gorla, M.D

  • Pediatric Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1538457239
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
R5560 Issued in TX
Practice address
4499 Medical Dr Ste 289
San Antonio, TX 78229-3712
Phone
(210) 614-3264
Fax
(210) 615-0888
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X R5560 TX Primary

Addresses

Primary practice location

4499 Medical Dr Ste 289
San Antonio, TX 78229-3712

Mailing address

4499 Medical Dr Ste 289
San Antonio, TX 78229-3712
Phone (210) 614-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180530001654 TX Practitioner - Pediatric Medicine 6507121290 Reassigns benefits to 1 organization
I20240817000105 LA Practitioner - Pediatric Medicine 6507121290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5560TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Jun 2, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Jul 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 1, 2018 Accepting new patients
Magella Medical Associates Billing, Inc. Pediatric Cardiology PastSince Aug 1, 2008 Accepting new patients
Methodist Physician Practices, PLLC PastSince Jun 1, 2025 Accepting new patients

Locations

1268 Southampton Dr
Alexandria, LA 71303
Phone (318) 448-0851

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Interoperability endpoints

  • Direct secure messaging: sudheer.gorla@direct.myhealthep.org
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1538457239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 289",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-614-3264",
            "fax_number": "210-615-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 289",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-614-3264",
            "fax_number": "210-615-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLA",
        "first_name": "SUDHEER",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "R5560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.