DR. NISHA SUNDARAGOPAL DMD
NPI 1295013514
Dentist - Pediatric Dentistry in Laredo, TX

Q: What is Nisha Sundaragopal's NPI number?

The NPI number for Nisha Sundaragopal is 1295013514. It was assigned to this individual provider in the NPPES registry on August 3, 2011. The provider is also known as Dr. Nisha Sundaragopal.

Q: What is Nisha Sundaragopal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 03, 2011PECOS Enrolled

5300 SAN DARIO AVE, #C2, LAREDO, TX 78041(956) 723-6568 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Nisha Sundaragopal Dmd NPPES

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

DR. NISHA SUNDARAGOPAL DMD (NPI 1295013514) is an individual pediatric dentistry provider in Laredo, Texas, licensed in Texas (27303) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295013514

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. NISHA SUNDARAGOPALCredential: DMD

Location Address5300 SAN DARIO AVE, #C2Laredo, TX 78041-3000

Mailing Address11767 Katy Fwy, Ste 505Houston, TX 77079-1768 · (281) 679-9340

Phone(956) 723-6568

Sole ProprietorYes

Enumeration DateAugust 3, 2011

Last NPPES UpdateFebruary 26, 2016

✔ NPI 1295013514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TX · 27303

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5300 SAN DARIO AVE, Laredo, TX 78041

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Other Names 1

Other Name (5)Dr. Nisha Sundaragopal

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nisha Sundaragopal Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78041 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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 3

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

VISIONWORKS, INC.

Eyewear Supplier

5300 SAN DARIO AVE, SUITE #136A
LAREDO, TX 78041

Webb County (956) 726-4335

J. FERRELL HARTIN, OD, PC

Optometrist

5300 SAN DARIO AVE, MALL DEL NORTE, SEARS
LAREDO, TX 78041

Webb County (210) 865-0202

DR. KALIN THU NGO D.D.S.

Dentist (General Practice)

5300 SAN DARIO AVE, C-2
LAREDO, TX 78041

Webb County (956) 723-6568

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 Nisha Sundaragopal's NPI number?

The NPI number for Nisha Sundaragopal is 1295013514. It was assigned to this individual provider in the NPPES registry on August 3, 2011. The provider is also known as Dr. Nisha Sundaragopal.

Where is Nisha Sundaragopal located?

Nisha Sundaragopal practices at 5300 San Dario Ave #c2, Laredo, TX 78041. The listed phone number is (956) 723-6568.

What is Nisha Sundaragopal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Nisha Sundaragopal enrolled in Medicare?

Yes. Nisha Sundaragopal is registered in the Medicare PECOS enrollment system.

What insurance does Nisha Sundaragopal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Nisha Sundaragopal 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.

When was this NPI record last updated?

The NPPES record for Nisha Sundaragopal was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.