SANJOY SUNDARESAN M.D.
NPI 1376504894
Neurological Surgery in Wichita Falls, TX

Q: What is Sanjoy Sundaresan's NPI number?

The NPI number for Sanjoy Sundaresan is 1376504894. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Q: What is Sanjoy Sundaresan's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjoy Sundaresan was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 01, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1099188 · Waiver

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CMS Quality Rating

1511 10TH ST, WICHITA FALLS, TX 76301(940) 767-0818(940) 763-8096 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sanjoy Sundaresan M.d. NPPES

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

SANJOY SUNDARESAN M.D. (NPI 1376504894) is an individual neurological surgery provider in Wichita Falls, Texas, licensed in Texas (K1083) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 6, 2027, and is affiliated with United Regional Health Care System.

NPPES Registry Identity

NPI1376504894

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameSANJOY SUNDARESANCredential: M.D.

Location Address1511 10TH STWichita Falls, TX 76301-4430

Mailing Address1511 10th StWichita Falls, TX 76301-4430 · (940) 767-0818 · Fax (940) 763-8096

Phone(940) 767-0818

Fax(940) 763-8096

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 1990

Enumeration DateApril 1, 2006

Last NPPES UpdateOctober 15, 2014

✔ NPI 1376504894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in TX · K1083

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1511 10TH ST, Wichita Falls, TX 76301

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Other Identifiers 3

Medicare UPING32629TX

Medicaid1336471-04TX

Medicare ID-Type Unspecified00557JTX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Sanjoy Sundaresan 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 ID345158960

PECOS Enrollment IDI20040519001412

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 of Waiver 45D1099188

Sanjoy Sundaresan, MD, PA · Wichita Falls, TX

Active · expires May 6, 2027

CLIA Number45D1099188

Laboratory TypePhysician Office

Certificate Effective DateMay 7, 2025

Certificate Expiration DateMay 6, 2027

Laboratory DirectorSanjoy Sundaresan, MD

Laboratory Phone(940) 767-0818

Laboratory LocationSanjoy Sundaresan, MD, PA1511 Tenth Street, Wichita Falls, TX 76301

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 32

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,029 services121 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

418 services140 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

417 services40 patients

Destruction of nerves supplying joint between spine and pelvis using imaging guidance 64625

This procedure involves the use of imaging technology to accurately locate and destroy specific nerves in the joint between your spine and pelvis. The goal is to reduce pain by interrupting the nerve signals responsible for your discomfort.

401 services124 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

297 services124 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

297 services124 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

279 services117 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 64634

This procedure involves the use of imaging technology to accurately target and destroy nerves in the upper or middle spinal facet joints, which may be causing pain. Each additional facet joint treated follows the same process.

200 services78 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

194 services128 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

174 services51 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

149 services117 patients

Destruction of peripheral nerve or branch 64640

139 services30 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

102 services78 patients

Destruction of nerves supplying joint between spine and pelvis using imaging guidance 64625

90 services62 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

59 services18 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

51 services46 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

51 services46 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

38 services35 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

35 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services34 patients

Destruction of nerve branches of knee using imaging guidance 64624

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

30 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services15 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

26 services16 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

26 services16 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 64634

24 services21 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

23 services17 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

21 services21 patients

Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance 64451

This procedure involves the careful introduction of a pain-relieving solution into the spine or pelvis nerve. A special imaging technology is used for precise placement. It's designed to alleviate discomfort and inflammation in these areas.

19 services19 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

17 services15 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

This procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.

17 services15 patients

Closed treatment of broken spine bone with cast or brace 22310

This procedure involves treating a fractured spine bone without surgery. A cast or brace is used to stabilize the bone, allowing it to heal naturally. This method can limit movement, reduce pain, and promote recovery.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450010

Location1600 11th StreetWichita Falls, TX 76301 · Wichita County

Emergency services Birthing friendly

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450584

Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County

Emergency services

Clay County Memorial Hospital

Critical Access Hospitals · Henrietta, TX

OwnershipGovernment - Local

CMS Certification Number451362

Location310 W South StreetHenrietta, TX 76365 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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.

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%67 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

92%455 patients3/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

80%1,548 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

21%33 patients1/55-star benchmark: 98%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

91%85 patients4/55-star benchmark: 100%

Pain Assessment and Follow-Up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present

79%457 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

99%485 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

14%382 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%194 patients5/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

95%485 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

21%485 patients2/55-star benchmark: 79%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 4

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

SCOTT B PHILLIPS PLLC

Neurological Surgery

1511 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 263-1551

DR. KONAPPA H MURTHY M.D

Internal Medicine (Gastroenterology)

1511 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 723-1672

SANJOY SUNDARESAN MD PA

Neurological Surgery

1511 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 767-0818

JIMMY DON WHETSELL PA-C

Physician Assistant

1511 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 767-0818

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 Sanjoy Sundaresan's NPI number?

The NPI number for Sanjoy Sundaresan is 1376504894. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Sanjoy Sundaresan located?

Sanjoy Sundaresan practices at 1511 10th St, Wichita Falls, TX 76301. The listed phone number is (940) 767-0818.

What is Sanjoy Sundaresan's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Sanjoy Sundaresan enrolled in Medicare?

Yes. Sanjoy Sundaresan 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 Sanjoy Sundaresan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1099188) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanjoy Sundaresan accept?

Health plans from Blue Cross and Blue Shield of Texas list Sanjoy Sundaresan 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 Sanjoy Sundaresan affiliated with any hospitals?

According to CMS data, Sanjoy Sundaresan is affiliated with United Regional Health Care System, Wilbarger General Hospital and Clay County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sanjoy Sundaresan was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

About Sanjoy Sundaresan M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 3

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 45D1099188

Areas of Expertise CMS Part B claims 32

Hospital Affiliations CMS Care Compare 3

United Regional Health Care System

Wilbarger General Hospital

Clay County Memorial Hospital

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Other Providers at the Same Location NPPES 4

Frequently Asked Questions NPPES & CMS

What is Sanjoy Sundaresan's NPI number?

Where is Sanjoy Sundaresan located?

What is Sanjoy Sundaresan's specialty?

Is Sanjoy Sundaresan enrolled in Medicare?

Does Sanjoy Sundaresan hold a CLIA laboratory certificate?

What insurance does Sanjoy Sundaresan accept?

Is Sanjoy Sundaresan affiliated with any hospitals?

When was this NPI record last updated?

Certificate of Waiver 45D1099188