DARYL SUDASENA
NPI 1295153880
Internal Medicine - Interventional Cardiology in Olympia, WA

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
406 BLACK HILLS LN SW, OLYMPIA, WA 98502(360) 754-1735 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2022, Nov 29, 2021, Jun 8, 2021 and 2 more (5 updates tracked since 2018).

About Daryl Sudasena NPPES

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

DARYL SUDASENA (NPI 1295153880) is an individual interventional cardiology provider in Olympia, Washington, licensed in Washington (MD61145791) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Saint Louis University School Of Medicine (2011).

NPPES Registry Identity

NPI1295153880
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDARYL SUDASENA
Location Address406 BLACK HILLS LN SWOlympia, WA 98502-8143
Mailing Address406 Black Hills Ln SwOlympia, WA 98502-8143 · (360) 754-1735
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2011
Enumeration DateApril 1, 2014
Last NPPES UpdateMay 3, 20225 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1295153880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in WA · MD61145791
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License R9445 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 307858 (NY)
406 BLACK HILLS LN SW, Olympia, WA 98502

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daryl Sudasena 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 ID7012132020
PECOS Enrollment IDI20210810001151
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Daryl Sudasena reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
406 BLACK HILLS LN SW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 34 clinicians in this Medicare group
Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Family Medicine
745 WILLIAMS ST
Mossyrock, WA 98564
  • Reassigned Medicare billing, Washington enrollment
  • 54 clinicians in this Medicare group
Primary Care
405 W. STANLEY STREET
Granite Falls, WA 98252
  • Reassigned Medicare billing, Washington enrollment
  • 463 clinicians in this Medicare group
General Acute Care Hospital
2811 TIETON DRIVE
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 565 clinicians in this Medicare group
Internal Medicine
3730 PLAZA WAY
Kennewick, WA 99338
  • Reassigned Medicare billing, Washington enrollment
  • 159 clinicians in this Medicare group
General Practice
1705 SE MEADOWBROOK BLVD, SUITE 2
College Place, WA 99324
  • Reassigned Medicare billing, Washington enrollment
  • 276 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 30

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.
699 services504 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
432 services107 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
376 services352 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.
229 services167 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
203 services101 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
185 services184 patients

Hospital Affiliations CMS Care Compare 5

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Astria Toppenish Hospital

Acute Care Hospitals · Toppenish, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number500037
Location502 W Fourth AveToppenish, WA 98948 · Yakima County
Emergency services

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 9

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

Clinical Medical Laboratory
406 BLACK HILLS LN SW, SUITE A
OLYMPIA, WA 98502
Specialist
406 BLACK HILLS LN SW
OLYMPIA, WA 98502
Internal Medicine (Gastroenterology)
406 BLACK HILLS LN SW, STE A
OLYMPIA, WA 98502
Internal Medicine (Cardiovascular Disease)
406 BLACK HILLS LN SW, STE A
OLYMPIA, WA 98502
Internal Medicine (Cardiovascular Disease)
406 BLACK HILLS LN SW, STE A
OLYMPIA, WA 98502
Internal Medicine (Gastroenterology)
406 BLACK HILLS LN SW, STE A
OLYMPIA, WA 98502
Internal Medicine (Gastroenterology)
406 BLACK HILLS LN SW, STE A
OLYMPIA, WA 98502
Internal Medicine (Gastroenterology)
406 BLACK HILLS LN SW, STE A
OLYMPIA, WA 98502

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 Daryl Sudasena's NPI number?

The NPI number for Daryl Sudasena is 1295153880. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Daryl Sudasena located?

Daryl Sudasena practices at 406 Black Hills Ln SW, Olympia, WA 98502. The listed phone number is (360) 754-1735.

What is Daryl Sudasena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Daryl Sudasena enrolled in Medicare?

Yes. Daryl Sudasena 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.

Which organizations bill Medicare for Daryl Sudasena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daryl Sudasena reassigns Medicare benefits to 7 organizations: Olympia Multi Specialty Clinic (Olympia, WA), Multicare Health System (Olympia, WA), Lewis County Hospital District No 1 (Mossyrock, WA), Public Hospital Dist No 1 Skagit (Granite Falls, WA), Yakima Valley Memorial Physicians (Yakima, WA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daryl Sudasena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daryl Sudasena accept?

Health plans from Ambetter Health, Medica, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Daryl Sudasena 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 Daryl Sudasena affiliated with any hospitals?

According to CMS data, Daryl Sudasena is affiliated with Skagit Valley Hospital, Providence St Peter Hospital, Yakima Valley Memorial, Astria Toppenish Hospital and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Daryl Sudasena was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.