Sunkavally Pain & Rehabilitation Associates PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

M9683 Issued in TX

Legal business name

SUNKAVALLY PAIN & REHABILITATION ASSOCIATES PA

Practice address

210 W Park
Suite 109
Livingston, TX 77351-8336

Phone

(936) 327-5611

Fax

(866) 918-3456

NPI assigned

Apr 21, 2010

Organization subpart

No

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

Authorized official

Name

Srinivas Sunkavally, MDNPI 1275622821

Title

President

Phone

(936) 327-5611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srinivas Sunkavally, M.D.

  • Pain Medicine Physician
  • Livingston, TX
  • NPI 1275622821
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1578880266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W PARK",
            "address_2": "SUITE 109",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518336",
            "telephone_number": "936-327-5611",
            "fax_number": "866-918-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W PARK",
            "address_2": "SUITE 109",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518336",
            "telephone_number": "936-327-5611",
            "fax_number": "866-918-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNKAVALLY PAIN & REHABILITATION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "SUNKAVALLY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-327-5611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M9683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sr Health Care PA (Polk Children's Clinic)
• Katherine Lee Steele-Dantin, LPC
• Stephanie a. Miller LPC
• Rosemary Ellen Suggs, DPT
• Vivian Ray Sullivan, NP
• Srinivas Sunkavally, M.D.
• Kayleigh Campbell Supak, LPC ASSOCIATE
• Sustaining Grace Counseling, PLLC
• Tall Pines Assisted Living
• Tall Pines Assisted Living

• Interventional Pain Medicine Physician in Livingston, TX
• Providers in Livingston, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.