SAMBASIVA RAO SUKHAVASI M.D.
NPI 1508862954
Internal Medicine - Pulmonary Disease in Nederland, TX

Q: What is Sambasiva Sukhavasi's NPI number?

The NPI number for Sambasiva Sukhavasi is 1508862954. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Sambasiva Sukhavasi's specialty?

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

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

2300 HIGHWAY 365, STE. 210, NEDERLAND, TX 77627(409) 721-5155(409) 722-6530 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Feb 6, 2026, Mar 1, 2016 (3 updates tracked since 2016).

On this page

About Sambasiva Rao Sukhavasi M.d. NPPES

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

SAMBASIVA RAO SUKHAVASI M.D. (NPI 1508862954) is an individual pulmonary disease provider in Nederland, Texas, licensed in Texas (J3912) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1508862954

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSAMBASIVA RAO SUKHAVASICredential: M.D.

Location Address2300 HIGHWAY 365, STE. 210Nederland, TX 77627-6256

Mailing Address2300 Highway 365, Ste. 210Nederland, TX 77627-6256 · (409) 721-5155 · Fax (409) 722-6530

Phone(409) 721-5155

Fax(409) 722-6530

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateJune 21, 2005

Last NPPES UpdateMarch 1, 20163 updates tracked since enumeration

✔ NPI 1508862954 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 · J3912

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.

2300 HIGHWAY 365, Nederland, TX 77627

Open in Google Maps ↗

Secondary Practice Location 1

Location 1755 N 11th St Ste P3900Beaumont, TX 77702-1520 · Phone (409) 721-5155

Other Identifiers 4

OtherJ3912TX · Medical License

Medicaid099173901TX

Other466904ZSRTTX · Medicare Id

Medicare UPINE37059TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Sambasiva Rao Sukhavasi 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 ID3779597760

PECOS Enrollment IDI20060719000308

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.

Areas of Expertise CMS Part B claims 20

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

375 services231 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.

375 services111 patients

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.

292 services178 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

216 services208 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

215 services207 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

202 services194 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

116 services116 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.

82 services38 patients

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.

81 services47 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

69 services29 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.

60 services58 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

59 services59 patients

Test to examine how well the lungs exchange gases 94729

58 services58 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.

55 services55 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.

55 services51 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

32 services32 patients

Test to determine lung volumes using gas dilution or washout 94727

27 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Test to determine lung volumes using sensors 94726

14 services14 patients

Diagnostic exam of lung airway using an endoscope 31622

This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450346

Location3080 College StreetBeaumont, TX 77701 · Jefferson County

Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450518

Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County

Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450573

Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77627 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

$124.88 typical visit price

range $54.04 – $164.93

Typical copayment $31.22 (range $13.51 – $41.23)

Most-billed visit code 99204

Established Patient

$95.83 typical visit price

range $17.17 – $134.47

Typical copayment $23.95 (range $4.29 – $33.61)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers11 claims11 services$75.91 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers11 claims66 services$1.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers110 claims115 services$14.18 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers57 claims57 services$911.99 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$3.12 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

7 suppliers244 claims250 services$60.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 17

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

GOLDEN TRIANGLE CARDIOTHORACIC AND VASCULAR SURGERY

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2300 HIGHWAY 365, STE 420
NEDERLAND, TX 77627

Jefferson County (409) 722-7001

KENNETH MCTAGUE PHD

Psychologist

2300 HIGHWAY 365, SUITE 620
NEDERLAND, TX 77627

Jefferson County (409) 729-0400

C & M GERIATRIC SERVICES LLP

Psychologist

2300 HIGHWAY 365, SUITE 110
NEDERLAND, TX 77627

Jefferson County (409) 729-0400

MARK THOMPSON LPC

Counselor (Professional)

2300 HIGHWAY 365, SUITE 620
NEDERLAND, TX 77627

Jefferson County (409) 729-0400

HOME CARE ELITE, LLC

Home Health

2300 HIGHWAY 365, STE. 130
NEDERLAND, TX 77627

Jefferson County (409) 724-2533

VISION PSYCHOLOGICAL SERVICES LLP

Psychologist

2300 HIGHWAY 365, 110
NEDERLAND, TX 77627

Jefferson County (409) 729-0400

M.K. HAMZA PH.D., P.A.

Psychologist (Clinical)

2300 HIGHWAY 365, STE 110
NEDERLAND, TX 77627

Jefferson County (409) 729-0400

BAYLOR W KURTIS

Dermatology

2300 HIGHWAY 365, SUITE 670
NEDERLAND, TX 77627

Jefferson County (409) 729-2262

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 Sambasiva Sukhavasi's NPI number?

The NPI number for Sambasiva Sukhavasi is 1508862954. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Sambasiva Sukhavasi located?

Sambasiva Sukhavasi practices at 2300 Highway 365 Ste. 210, Nederland, TX 77627. The listed phone number is (409) 721-5155.

What is Sambasiva Sukhavasi's specialty?

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

Is Sambasiva Sukhavasi enrolled in Medicare?

Yes. Sambasiva Sukhavasi 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.

What insurance does Sambasiva Sukhavasi accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Sambasiva Sukhavasi 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 Sambasiva Sukhavasi affiliated with any hospitals?

According to CMS data, Sambasiva Sukhavasi is affiliated with Christus Southeast Texas- St Elizabeth, Baptist Beaumont Hospital, The Medical Center Of Southeast Texas and Christus Jasper Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sambasiva Sukhavasi was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.