Individual provider Active NPI

Sujaata Dwadasi, M.D.

  • Gastroenterology Physician
  • Fishers, IN
National Provider Identifier
1609295518
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01099137A Issued in IN
Practice address
13914 Southeastern Pkwy Ste 204
Fishers, IN 46037-7125
Phone
(317) 415-9277
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 336103981 IL
Gastroenterology Physician 207RG0100X 01099137A IN Primary
Internal Medicine Physician 207R00000X 036142635 IL
Gastroenterology Physician 207RG0100X U0768 TX

Addresses

Primary practice location

13914 Southeastern Pkwy Ste 204
Fishers, IN 46037-7125

Mailing address

13914 Southeastern Pkwy Ste 204
Fishers, IN 46037-7125

Other practice location 1

6818 Austin Center Blvd Ste 205
Austin, TX 78731-3100
Phone (512) 344-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20210108002317 IL Practitioner - Internal Medicine 6305114356 Reassigns benefits to 1 organization
I20260331000615 IN Practitioner - Gastroenterology 6305114356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13914 Southeastern Pkwy
Suite 204
Fishers, IN 46037-7125
Phone (317) 415-9277

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336103981ILMDGastroenterology Physician
01099137AINMDGastroenterology Physician
U0768TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Jan 10, 2023 Accepting new patients
Austin Regional Clinic, PA Internal Medicine CurrentSince Jan 10, 2023 Accepting new patients
Carle Health Medical Group Internal Medicine CurrentSince Nov 9, 2020 Accepting new patients

Locations

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1807 W Slaughter Ln
Ste 490
Austin, TX 78748
Phone (512) 282-8967

6210 E Highway 290
Austin, TX 78723

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Ste 240
Austin, TX 78723

6818 Austin Center Blvd
Ste 205
Austin, TX 78731
Phone (512) 344-0450

1401 Medical Pkwy
Ste 211
Cedar Park, TX 78613
Phone (512) 260-1581

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: sdwadasi27813@arcmd.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1609295518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY STE 204",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY STE 204",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377125",
            "telephone_number": "317-415-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6818 Austin Center Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313100",
            "country_code": "US",
            "telephone_number": "512-344-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWADASI",
        "first_name": "SUJAATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "336103981",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01099137A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036142635",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "U0768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.