DR. SUDARONE THIHALOLIPAVAN (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1528220050

DR. SUDARONE THIHALOLIPAVAN (M.D.) is a healthcare provider. based in Little rock, Arkansas. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. E9729 (AR). The NPI Number for DR. SUDARONE THIHALOLIPAVAN (M.D.) is 1528220050

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUDARONE THIHALOLIPAVAN (M.D.)
NPI
1528220050
Phone
(917) 502-5809
Address
13415 CHRISTOPHER DRIVE
Enumeration Date
26 June 2008
Last Update Date
11 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6024562342
Graduation Year
2008 (18 years ago)
PAC ID
6406020940
Group Practice PAC ID
9638209760
Professional Enrollment ID
I20201230000777
Address ID
AZ850168103PH1848XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

33 CARDIAC ELECTROPHYSIOLOGY in AR

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Provider Addresses for DR. SUDARONE THIHALOLIPAVAN (M.D.)

  • 13415, Christopher Drive, Pleasant View, Little Rock, Pulaski County, Arkansas, 72212, United States

    LITTLE ROCK, AR 72212

    Phone: (917) 502-5809

    Type: Mailing

  • 7, Shackleford West Boulevard, Little Rock, Pulaski County, Arkansas, 72211, United States

    LITTLE ROCK, AR 722113714

    Phone: (501) 664-5860

    Fax: (501) 664-0889

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 375 Open Payments records for all available years, with a total value of $15,333.

Total Amount is formed as General ($15,333) + Research ($0) + Ownership ($0) = $15,333.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Biosense Webster, Inc. ($5,462).

Total Amount

$15,333

General + Research + Ownership

Payments

375

Total payment records

General Amount

$15,333

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160725002767ICardiovascular Disease (Cardiology)ARTBD
I20201230000777ICardiac ElectrophysiologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,468549$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,021465$0
J2785Injection, regadenoson, 0.1 mg37494$0
G0422Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session31827$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month26566$0
View full utilization report →

Insurance plans in this area (ZIP 72212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638209760View full group profile
NameSpecialtyState
Physician AssistantAZ
-AZ
Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology)TN
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineAZ
-AZ

Reviews

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Frequently asked questions

What is the standard ID for DR. SUDARONE THIHALOLIPAVAN (M.D.) in the U.S.?
In the U.S., DR. SUDARONE THIHALOLIPAVAN (M.D.) is identified by NPI 1528220050.
Should I treat DR. SUDARONE THIHALOLIPAVAN (M.D.) as an active provider?
Patients and plans typically see DR. SUDARONE THIHALOLIPAVAN (M.D.) as active in the national extract.
What services align with DR. SUDARONE THIHALOLIPAVAN (M.D.)'s listing?
DR. SUDARONE THIHALOLIPAVAN (M.D.)'s public classification highlights Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SUDARONE THIHALOLIPAVAN (M.D.) tied to Little Rock, Arkansas?
If you are local to Little Rock, Arkansas, DR. SUDARONE THIHALOLIPAVAN (M.D.) may be relevant to your search.
Why is information missing for DR. SUDARONE THIHALOLIPAVAN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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