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MR. THOMAS STEPHEN SUDELA MD
NPI 1093704686
Obstetrics & Gynecology in Rockwall, TX

Active since October 17, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2158834 · Microscopy
2504 RIDGE ROAD, SUITE 201, ROCKWALL, TX 75087(972) 722-0404(972) 722-7082 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2019, Oct 24, 2019 (2 updates tracked since 2019).

About Mr. Thomas Stephen Sudela Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS STEPHEN SUDELA MD (NPI 1093704686) is an individual obstetrics & gynecology provider in Rockwall, Texas, licensed in Texas (E6639) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 6, 2026, and is affiliated with Hunt Regional Medical Center.

NPPES Registry Identity

NPI1093704686
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. THOMAS STEPHEN SUDELACredential: MD
Location Address2504 RIDGE ROAD, SUITE 201Rockwall, TX 75087
Mailing Address2504 Ridge Road, Suite 201Rockwall, TX 75087 · (972) 722-0404 · Fax (972) 722-7082
Phone(972) 722-0404
Fax(972) 722-7082
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1976
Enumeration DateOctober 17, 2005
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1093704686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · E6639
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2504 RIDGE ROAD, Rockwall, TX 75087
Open in Google Maps ↗

Other Identifiers 2

Medicaid114204402TX
OtherE6639TX · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas Stephen Sudela Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668435447
PECOS Enrollment IDI20100518000849
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2158834

Thomas Sudela MD PA · Rockwall, TX
Active · expires Dec 6, 2026
CLIA Number45D2158834
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorThomas S. Sudela
Laboratory Phone(972) 722-0404
Laboratory LocationThomas Sudela MD PA2504 Ridge Road Suite 201, Rockwall, TX 75087
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services71 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
27 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services20 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK JAMES PELLETIER PAC
Physician Assistant
2504 RIDGE ROAD, SUITE 203
ROCKWALL, TX 75087
Rockwall County (214) 771-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Sudela's NPI number?

The NPI number for Thomas Sudela is 1093704686. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Thomas Sudela located?

Thomas Sudela practices at 2504 Ridge Road Suite 201, Rockwall, TX 75087. The listed phone number is (972) 722-0404.

What is Thomas Sudela's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Sudela enrolled in Medicare?

Yes. Thomas Sudela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Thomas Sudela hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2158834) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thomas Sudela accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Thomas Sudela as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Sudela affiliated with any hospitals?

According to CMS data, Thomas Sudela is affiliated with Hunt Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe and Texas Health Presbyterian Hospital Rockwall.

When was this NPI record last updated?

The NPPES record for Thomas Sudela was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.