Krishna Sunkavalli, M.D.
Individual provider Active NPI Family Medicine Physician · Hamlin, TX
NPI 1689666356 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1689666356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G4409 (TX)
- Practice address
- 350 NW Avenue F
Hamlin, TX 79520-3016 - Phone
- (325) 576-3611
- Fax
- (325) 576-3854
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100421000256 | TX | Practitioner - Family Practice |
6103953252 |
Reassigns benefits to 3 organizations Practice locations: Anson, TX; Aspermont, TX; Hamlin, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4409 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Fisher County Hospital District | Current |
Accepting new patients | |
| Hamlin Hospital District | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Hamlin Hospital District | Family Medicine | Current |
Accepting new patients |
| Fisher County Hospital District | Current | Accepting new patients | |
| Fisher County Hospital District | Current |
Accepting new patients | |
| Stonewall Memorial Hospital | Past | Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Past | Accepting new patients |
Locations
101 Avenue J
Anson, TX 79501
Phone (325) 823-3231
350 NW Avenue F
Hamlin, TX 79520
Phone (325) 576-3611
632 NW 2nd St
Hamlin, TX 79520
Phone (325) 576-3611
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
901 W Hamilton St
Olney, TX 76374
Phone (940) 564-3546
774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G4409 | TX | Yes |
Addresses
Primary practice location
350 NW Avenue F
Hamlin, TX 79520-3016
Mailing address
PO Box 14422
Krishna Sunkavalli
Belfast, ME 04915-4037
Phone (325) 576-3611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1395006-08 | Medicaid | TX |
Other providers in Hamlin, TX
- Hamlin Hospital District
- Hamlin Independent School District
- Madyson Lee Milloy
- Andrea Lanett Ponder
- SLP Hamlin LLC
- Melodie Violet Tarr
- Western Medical Supply
All providers in Hamlin, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.