Individual provider Active NPI

Aiswarya Sundaram, M.D.

  • Interventional Cardiology Physician
  • Arlington, TX
National Provider Identifier
1730377599
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD047589 Issued in TN
Practice address
515 W Mayfield Rd Ste 210
Arlington, TX 76014-4596
Phone
(817) 375-5847
Fax
(817) 557-8094
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD0000047589 TN
Interventional Cardiology Physician 207RI0011X MD047589 TN Primary

Addresses

Primary practice location

515 W Mayfield Rd Ste 210
Arlington, TX 76014-4596

Mailing address

515 W Mayfield Rd Ste 210
Arlington, TX 76014-4596
Phone (817) 375-5847

Other practice location 1

162 BMH Physicians Office Bldg.
Maryville, TN 37804
Phone (865) 982-7681

Other identifiers 1

IdentifierTypeStateIssuer
Q001579MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013003544 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608001656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

1100 Allied Dr
Plano, TX 75093-5348
Phone (972) 566-8855

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (817) 555-1212

515 W Mayfield Rd
Suite 200
Arlington, TX 76014-4596
Phone (817) 375-5847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47589TNMDPharmacist
MD0000047589TNMDCardiovascular Disease Physician
MD047589TNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC Interventional Cardiology CurrentSince Dec 1, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

515 W Mayfield Rd
Ste 210
Arlington, TX 76014
Phone (817) 375-5847

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

8479 Davis Blvd
Ste 300
North Richland Hills, TX 76182
Phone (817) 479-3818

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Interoperability endpoints

  • Direct secure messaging: aiswarya.sundaram@hca7.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1730377599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144596",
            "telephone_number": "817-375-5847",
            "fax_number": "817-557-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144596",
            "telephone_number": "817-375-5847",
            "fax_number": "817-557-8094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 BMH Physicians Office Bldg.",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "37804",
            "country_code": "US",
            "telephone_number": "865-982-7681",
            "fax_number": "865-681-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDARAM",
        "first_name": "AISWARYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD0000047589",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD047589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001579",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.