MR. KAUSHALKUMAR SUTHAR
NPI 1326660473
Internal Medicine - Pulmonary Disease in Marble Falls, TX

Active since May 12, 2020PECOS EnrolledAccepts Medicare Assignment
800 W HIGHWAY 71, MARBLE FALLS, TX 78654(830) 201-7100(830) 201-7304 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Jun 5, 2026, May 12, 2020 (3 updates tracked since 2020).

About Mr. Kaushalkumar Suthar NPPES

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

MR. KAUSHALKUMAR SUTHAR (NPI 1326660473) is an individual pulmonary disease provider in Marble Falls, Texas, licensed in Texas (W2792) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Marble Falls, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326660473
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. KAUSHALKUMAR SUTHAR
Location Address800 W HIGHWAY 71Marble Falls, TX 78654-8602
Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139
Fax(830) 201-7304
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 12, 2020
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1326660473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · W2792
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
800 W HIGHWAY 71, Marble Falls, TX 78654

Secondary Practice Locations 2

Location 1PO Box 844658Dallas, TX 75284-4658 · Phone (800) 994-0371 · Fax (254) 215-9722
Location 21 Brookdale PlzBrooklyn, NY 11212-3139 · Phone (718) 240-6205

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

Mr. Kaushalkumar Suthar 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 ID2668944059
PECOS Enrollment IDI20260617000533
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 Reassignment

Medicare enrollment records show Kaushalkumar Suthar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1701 E PFLUGERVILLE PKWY
Pflugerville, TX 78660
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 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.

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78654 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Internal Medicine (Gastroenterology)
800 W HIGHWAY 71
MARBLE FALLS, TX 78654
Internal Medicine (Cardiovascular Disease)
800 W HIGHWAY 71
MARBLE FALLS, TX 78654
Otolaryngology
800 W HIGHWAY 71
MARBLE FALLS, TX 78654
Surgery
800 W HIGHWAY 71
MARBLE FALLS, TX 78654
Internal Medicine (Medical Oncology)
800 W HIGHWAY 71
MARBLE FALLS, TX 78654
Nurse Practitioner (Family)
800 W HIGHWAY 71
MARBLE FALLS, TX 78654
Anesthesiology
800 W HIGHWAY 71
MARBLE FALLS, TX 78654
Occupational Therapist (Hand)
800 W HIGHWAY 71
MARBLE FALLS, TX 78654

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 Kaushalkumar Suthar's NPI number?

The NPI number for Kaushalkumar Suthar is 1326660473. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Kaushalkumar Suthar located?

Kaushalkumar Suthar practices at 800 W Highway 71, Marble Falls, TX 78654. The listed phone number is (830) 201-7100.

What is Kaushalkumar Suthar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kaushalkumar Suthar enrolled in Medicare?

Yes. Kaushalkumar Suthar 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 organization bills Medicare for Kaushalkumar Suthar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaushalkumar Suthar reassigns Medicare benefits to Scott & White Clinic (Pflugerville, TX). The 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 Kaushalkumar Suthar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaushalkumar Suthar accept?

Health plans from Blue Cross and Blue Shield of Texas list Kaushalkumar Suthar 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 Kaushalkumar Suthar affiliated with any hospitals?

According to CMS data, Kaushalkumar Suthar is affiliated with Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Kaushalkumar Suthar was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.