1. Home
  2. Directory
  3. Texas
  4. Mckinney
  5. Internal Medicine
  6. NPI Profile

NIVEDITA SUDHEKAR M.D.
NPI 1336672245
Internal Medicine in Mckinney, TX

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
5252 W UNIVERSITY DR, MCKINNEY, TX 75071(469) 764-6950 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Aug 13, 2025, Aug 30, 2023 and 4 more (7 updates tracked since 2020).

About Nivedita Sudhekar M.d. NPPES

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

NIVEDITA SUDHEKAR M.D. (NPI 1336672245) is an individual internal medicine provider in Mckinney, Texas, licensed in Texas (S3753) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White The Heart Hospital - Plano, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1336672245
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNIVEDITA SUDHEKARCredential: M.D.
Location Address5252 W UNIVERSITY DRMckinney, TX 75071-7822
Mailing AddressPo Box 844658, P.o. Box 844128Dallas, TX 75284-4658 · (254) 724-2111
Phone(469) 764-6950
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 7, 2017
Last NPPES UpdateDecember 16, 20257 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1336672245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S3753
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5252 W UNIVERSITY DR, Mckinney, TX 75071
Open in Google Maps ↗

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

Nivedita Sudhekar M.d. 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 ID5092138198
PECOS Enrollment IDI20230927001158
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

2

Medicare enrollment records show Nivedita Sudhekar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthtexas Provider Network
13 mi
Family Medicine
5717 LEGACY DR STE 180
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1124809512 (888) 663-6331
Texas Health Physicians Group
24 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
313 services194 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
133 services132 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services58 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services79 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
56 services56 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers43 claims43 services$20.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers49 claims49 services$115.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BAYLOR SCOTT & WHITE MEDICAL CENTERS - GREATER NORTH TEXAS
Durable Medical Equipment & Medical Supplies
5252 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 764-1000
NICHOLAS FRITSCHEL PT, DPT
Physical Therapist
5252 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 764-1000
GERALD JERARD JOHNSON M.D.
Internal Medicine
5252 W UNIVERSITY DR, ATTN: MKIPCU
MCKINNEY, TX 75071
Collin County (469) 764-6950
DR. AYESHA JAMAL M.D.
Internal Medicine
5252 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 764-6950
BAYLOR SCOTT & WHITE MEDICAL CENTERS - GREATER NORTH TEXAS
General Acute Care Hospital
5252 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 764-1000
MRS. JENNIFER L KALTENBACH R.D.
Dietitian, Registered
5252 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 764-1815
CHANTAL HANNA
Occupational Therapist
5252 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 764-1000
DR. ELIZABETH LOUISE FAGAN MD
Emergency Medicine
5252 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 764-5059

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 Nivedita Sudhekar's NPI number?

The NPI number for Nivedita Sudhekar is 1336672245. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Nivedita Sudhekar located?

Nivedita Sudhekar practices at 5252 W University Dr, Mckinney, TX 75071. The listed phone number is (469) 764-6950.

What is Nivedita Sudhekar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nivedita Sudhekar enrolled in Medicare?

Yes. Nivedita Sudhekar 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 Nivedita Sudhekar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nivedita Sudhekar reassigns Medicare benefits to 2 organizations: Healthtexas Provider Network (Plano, TX) and Texas Health Physicians Group (Dallas, TX). 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 Nivedita Sudhekar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nivedita Sudhekar affiliated with any hospitals?

According to CMS data, Nivedita Sudhekar is affiliated with Baylor Scott & White The Heart Hospital - Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Nivedita Sudhekar was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.