Sanjoy Sundaresan MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SANJOY SUNDARESAN MD PA

Practice address

1511 10TH St
Wichita Falls, TX 76301-4430

Phone

(940) 767-0818

Fax

(940) 763-8096

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Sanjoy Sundaresan, MDNPI 1376504894

Title

Owner

Phone

(940) 767-0818

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 2

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

• Sanjoy Sundaresan, M.D.

  • Neurological Surgery Physician
  • Wichita Falls, TX
  • NPI 1376504894
  Medicare reassignment NPD Authorized official
• Alyanna Mejia, FNP

  • Nurse Practitioner
  • Gainesville, TX
  • NPI 1518749209
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1669674073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014430",
            "telephone_number": "940-767-0818",
            "fax_number": "940-763-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014430",
            "telephone_number": "940-767-0818",
            "fax_number": "940-763-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJOY SUNDARESAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "SUNDARESAN",
        "authorized_official_first_name": "SANJOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-767-0818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San-Sun 2014 Series LLC
• Shelby Sanborn
• Henry Richard Sanchez-Leal, M.D.
• Emily Sanchez, BCBA
• Sandia Neurology Group PA
• Elisa Reyes Sarip, PT
• Tammy Lee Sartor, M.D.
• Molly Satterfield, SLPA
• Lindsey Scales
• Joshua John-Ram Schacter, D.O.

• Neurological Surgery Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.