Individual provider Active NPI

Sudhir Babu Thotakura, M.D.

  • Interventional Cardiology Physician
  • Dallas, TX
National Provider Identifier
1730447756
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q3604 Issued in TX
Practice address
12228 N Central Expy Ste 210
Dallas, TX 75243-3744
Phone
(214) 361-3300
NPI assigned
Apr 27, 2012
Last updated
May 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD61521995 WA
Interventional Cardiology Physician 207RI0011X Q3604 TX Primary

Addresses

Primary practice location

12228 N Central Expy Ste 210
Dallas, TX 75243-3744

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700

Other practice location 1

1959 NE Pacific St
Seattle, WA 98195-4595
Phone (206) 520-5000

Other identifiers 1

IdentifierTypeStateIssuer
401044902MedicaidTX

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
I20190626003407 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648550103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2012
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)

12228 N Central Expy
Suite 210
Dallas, TX 75243-3744
Phone (214) 361-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
57.18
Promoting interoperability
86
Improvement activities
40
Cost
70.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Internal Medicine CurrentSince May 2, 2024 Accepting new patients
Aligned Providers of East Texas Cardiovascular Disease CurrentSince Aug 12, 2019 Accepting new patients
Cardiology Specialists of North Texas, PLLC Interventional Cardiology CurrentSince Aug 1, 2025 Accepting new patients
Youngs Professional Services LLC Past Accepting new patients
Elite Orthopaedics of Irving PLLC Past Accepting new patients

Locations

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

12228 N Central Expy
Ste 210
Dallas, TX 75243
Phone (214) 826-6044

3537 S Interstate 35 E
Ste 305
Denton, TX 76210
Phone (972) 391-1915

5575 Frisco Square Blvd
Ste 240
Frisco, TX 75034

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

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

1783 Troup Hwy
Tyler, TX 75701
Phone 90359522832057

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: sthotakura197635@christushealth.direct-ci.net
  • Direct secure messaging: sudhir.thotakura@hca7.eclinicaldirectplus.com

Organizations & group practices 5

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 6

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1730447756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12228 N CENTRAL EXPY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433744",
            "telephone_number": "214-361-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981954595",
            "country_code": "US",
            "telephone_number": "206-520-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOTAKURA",
        "first_name": "SUDHIR",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD61521995",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q3604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401044902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.