DR. SURESH RAJ SEDHAIN MD
NPI 1619139441
Psychiatry & Neurology - Child & Adolescent Psychiatry in Dallas, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
81.16/100
CMS Quality Rating
9708 SKILLMAN ST, DALLAS, TX 75243(214) 221-5433 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2025, Jan 13, 2022, May 25, 2021 and 1 more (4 updates tracked since 2015).

About Dr. Suresh Raj Sedhain Md NPPES

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

DR. SURESH RAJ SEDHAIN MD (NPI 1619139441) is an individual child & adolescent psychiatry provider in Dallas, Texas, licensed in Texas (Q5092) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619139441
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SURESH RAJ SEDHAINCredential: MD
Location Address9708 SKILLMAN STDallas, TX 75243-5150
Mailing Address346 Park Hill LnGrapevine, TX 76051-1126 · (412) 805-1440
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 2, 2008
Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1619139441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in TX · Q5092✔ Licensed in PA · MD435283
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License Q5092 (TX), MD435283 (PA)
9708 SKILLMAN ST, Dallas, TX 75243

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

Dr. Suresh Raj Sedhain Md 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 ID8426244575
PECOS Enrollment IDI20160223002084
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 Suresh Sedhain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
3242 REMOND DR
Dallas, TX 75211
  • Reassigned Medicare billing, Texas enrollment
  • 173 clinicians in this Medicare group
Community/Behavioral Health
793 OLD ROUTE 119 HWY N
Indiana, PA 15701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 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.

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.

81.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.05
Promoting Interoperability49
Improvement Activities40
Cost100

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.

Community/Behavioral Health
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Behavior Analyst
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Professional)
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Health Maintenance Organization
9708 SKILLMAN ST
DALLAS, TX 75243

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 Suresh Sedhain's NPI number?

The NPI number for Suresh Sedhain is 1619139441. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Suresh Sedhain located?

Suresh Sedhain practices at 9708 Skillman St, Dallas, TX 75243. The listed phone number is (214) 221-5433.

What is Suresh Sedhain's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Suresh Sedhain enrolled in Medicare?

Yes. Suresh Sedhain 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 Suresh Sedhain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suresh Sedhain reassigns Medicare benefits to 2 organizations: Dallas County Mental Health & Mental Retardation Center (Dallas, TX) and Community Guidance Center (Indiana, PA). 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 Suresh Sedhain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suresh Sedhain accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company list Suresh Sedhain 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 Suresh Sedhain was last updated on December 8, 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.