| Dr Balasasikumar Sundaram, MD | |
|
1001 Towson Ave, Fort Smith, AR 72901-4921 | |
| (479) 441-5011 | |
| (479) 441-4932 |
| Full Name | Dr Balasasikumar Sundaram |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 1001 Towson Ave, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922057900 | NPI | - | NPPES |
| 156990001 | Medicaid | AR | |
| E4251 | Other | AZ | ARKANSAS STATE LICENSE |
| 200117580A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E4251 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | South Arkansas Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942435458 PECOS PAC ID: 4486705720 Enrollment ID: O20090629000005 |
| Entity Name | Ies Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598488090 PECOS PAC ID: 6204207665 Enrollment ID: O20230123000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Balasasikumar Sundaram, MD 1543 Fianna Place Ter, Fort Smith, AR 72908-8582 Ph: (479) 648-6714 | Dr Balasasikumar Sundaram, MD 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-5011 |
Thomas Stephen Leitzsch, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6241 Fax: 479-452-0275 | |
Dr. Bruce Leroy Crabtree, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6242 | |
James Cary Wilson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7301 Rogers Ave., Emergency Department, Fort Smith, AR 72903 Phone: 479-484-6241 Fax: 479-484-6240 | |
Mark Alan Horan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Er Dept., Fort Smith, AR 72901 Phone: 479-441-5011 Fax: 405-749-4561 | |
Andrew Bradley Starnes, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000 | |
Dr. Dwight Joseph Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6100 Massard Rd, Fort Smith, AR 72916 Phone: 479-709-7250 Fax: 479-709-7251 | |
Eric Scott Sullivan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-441-5011 Fax: 479-441-4932 |