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DR. SUNDEEP MANDAVA MD
NPI 1497117634
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Shenandoah, TX

Active since March 27, 2016PECOS Enrolled
920 MEDICAL PLAZA DR STE 120, SHENANDOAH, TX 77380(281) 298-1144(281) 298-1133 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2022, Aug 18, 2022, Mar 27, 2016 (3 updates tracked since 2016).

About Dr. Sundeep Mandava Md NPPES

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

DR. SUNDEEP MANDAVA MD (NPI 1497117634) is an individual neurology with special qualifications in child neurology provider in Shenandoah, Texas, licensed in Texas (T2917) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497117634
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. SUNDEEP MANDAVACredential: MD
Location Address920 MEDICAL PLAZA DR STE 120Shenandoah, TX 77380-3275
Mailing Address14960 Park Row DrHouston, TX 77084-5165 · (281) 298-1144 · Fax (281) 298-1133
Phone(281) 298-1144
Fax(281) 298-1133
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2016
Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1497117634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in TX · T2917
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License T2917 (TX)
920 MEDICAL PLAZA DR STE 120, Shenandoah, TX 77380
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sundeep Mandava Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749578953
PECOS Enrollment IDI20260812001800
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 Sundeep Mandava reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice
72 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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 2

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

DR. LAUREN D'ANGELO WEAVER MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
920 MEDICAL PLAZA DR STE 120
SHENANDOAH, TX 77380
Montgomery County (281) 298-1144
DR. MARK A BARROS M.D.
Pediatrics
920 MEDICAL PLAZA DR STE 120
SHENANDOAH, TX 77380
Montgomery County (326) 574-1528

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 Sundeep Mandava's NPI number?

The NPI number for Sundeep Mandava is 1497117634. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Sundeep Mandava located?

Sundeep Mandava practices at 920 Medical Plaza Dr Ste 120, Shenandoah, TX 77380. The listed phone number is (281) 298-1144.

What is Sundeep Mandava's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Sundeep Mandava enrolled in Medicare?

Yes. Sundeep Mandava is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sundeep Mandava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sundeep Mandava reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, 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 Sundeep Mandava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sundeep Mandava accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Sundeep Mandava 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 Sundeep Mandava was last updated on August 30, 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.