Active NPI
Sudha Teerdhala, MD
- Medical Oncology Physician
- Mesquite, TX
National Provider Identifier
1700828548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- K4266
- Practice address
- 4700 N Galloway Ave
Mesquite, TX 75150-1516 - Phone
- (972) 686-6411
- Fax
- (972) 686-0594
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | K4266 | TX | Primary |
Addresses
Primary practice location
4700 N Galloway Ave
Mesquite, TX 75150-1516
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040628201 | Medicaid | TX | |
| 8R1565 | Other | TX | BLUE CROSS OF TEXAS |
| 101119902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3144 Horizon Rd
Suite 110
Rockwall, TX 75032-7046
Phone (972) 771-3322
Hospital & facility affiliations
- Centric Home Health
- Texas Health Presbyterian Hospital Rockwall
- Baylor Scott and White Medical Center Lake Pointe
- Hunt Regional Medical Center
- Baylor University Medical Center
- Texas Health Presbyterian Hospital Kaufman
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
Locations
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
4700 N Galloway Ave
Mesquite, TX 75150
Phone (972) 686-6411
3705 W 15th St
Plano, TX 75075
Phone (972) 867-3577
3144 Horizon Rd
Ste 110
Rockwall, TX 75032
Phone (469) 314-5155
Interoperability endpoints
- sudha.teerdhala@txo.ikm.direct-ci.com
Organizations & group practices 2
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- Orthopaedic Surgery of the Spine Physician
- Plano, TX
- NPI 1184663163
Hospital
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1114035383
Hospital
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
- General Acute Care Hospital
- Rockwall, TX
- NPI 1629138029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1700828548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-437-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N GALLOWAY AVE",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751501516",
"telephone_number": "972-686-6411",
"fax_number": "972-686-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEERDHALA",
"first_name": "SUDHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "K4266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040628201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1565",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101119902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.