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SAMBASIVA R SUKHAVASI MD PA
NPI 1770957847
Internal Medicine - Pulmonary Disease in Nederland, TX

Active since November 30, 2015
2300 HIGHWAY 365, STE. 210, NEDERLAND, TX 77627(409) 721-5155(409) 722-6530 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2016, Nov 30, 2015 (2 updates tracked since 2015).

About Sambasiva R Sukhavasi Md Pa NPPES

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

SAMBASIVA R SUKHAVASI MD PA (NPI 1770957847) is a healthcare organization registered as a pulmonary disease in Nederland, Texas and active in the NPI registry since November 2015. The organization lists Sambasiva Sukhavasi, M.d., as its authorized official.

NPPES Registry Identity

NPI1770957847
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSAMBASIVA R SUKHAVASI MD PA
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
Organization SubpartNo
Authorized OfficialSambasiva SukhavasiM.d. · (409) 721-5155
Enumeration DateNovember 30, 2015
Last NPPES UpdateMarch 2, 20162 updates tracked since enumeration
✔ NPI 1770957847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
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 ↗

Other Identifiers 3

Medicare UPINE37059TX
Other466900TX · Medicare Id
Medicaid099173901TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sambasiva R Sukhavasi Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sambasiva R Sukhavasi MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sambasiva Sukhavasi, M.D.
Internal Medicine
NPI 1508862954
2300 HIGHWAY 365 STE. 210
Nederland, TX 77627
(409) 721-5155
✔ PECOS✔ Accepts MedicareSame address

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

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 R Sukhavasi MD PA's NPI number?

The NPI number for Sambasiva R Sukhavasi MD PA is 1770957847. It was assigned to this organization in the NPPES registry on November 30, 2015.

Where is Sambasiva R Sukhavasi MD PA located?

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

What is Sambasiva R Sukhavasi MD PA's specialty?

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

Is Sambasiva R Sukhavasi MD PA enrolled in Medicare?

Yes. Sambasiva R Sukhavasi MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sambasiva R Sukhavasi MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sambasiva R Sukhavasi MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sambasiva R Sukhavasi MD PA was last updated on March 2, 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.