Individual provider Active NPI

Suresh Joseph Valloppillil, M.D.

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1790950483
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N3366 Issued in TX
Practice address
5204 Silver Lake Dr
Plano, TX 75093-7564
Phone
(214) 699-9297
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N3366 TX Primary

Addresses

Primary practice location

5204 Silver Lake Dr
Plano, TX 75093-7564

Mailing address

PO Box 112
Muncie, IN 47308-0112
Phone (800) 745-5156

Other names 1

  • Dr. Suresh Joseph Professional name

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
I20090730000404 TX Practitioner - Anesthesiology 3375696834 Reassigns benefits to 3 organizations
Practice locations: Dallas, TX; Plano, TX

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Skies Anesthesia PLLCGroup PAC ID 4082019617, 12 clinicians
Arcadia Anesthesia PAGroup PAC ID 8325280829, 17 clinicians

Practice addresses (Care Compare)

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (214) 618-0500

9301 N Central Expy
Suite 685
Dallas, TX 75231-0816
Phone (972) 572-6101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Skies Anesthesia PLLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Excel Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

7115 Greenville Ave
Ste 100
Dallas, TX 75231
Phone (214) 647-5300

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

9301 N Central Expy
Ste 685
Dallas, TX 75231
Phone (214) 212-0158

7777 Forest Ln
Ste C150
Dallas, TX 75230
Phone (972) 566-6171

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

416 S Henderson St
Ft Worth, TX 76104
Phone (682) 478-8123

6160 Windhaven Pkwy
Ste 220
Plano, TX 75093
Phone (972) 212-7463

6101 Windhaven Pkwy
Ste 195
Plano, TX 75093
Phone (214) 532-7629

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2633 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (469) 562-1992

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 8

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 5

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1790950483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080112",
            "telephone_number": "800-745-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 SILVER LAKE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937564",
            "telephone_number": "214-699-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLOPPILLIL",
        "first_name": "SURESH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N3366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURESH",
            "last_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.