DR. KAMLESH J. SISODIYA (M.D.) – Interventional Pain Medicine Physician, NPI 1003893397

DR. KAMLESH J. SISODIYA (M.D.) is a healthcare provider. based in Plano, Texas. specializing in Interventional Pain Medicine Physician. They hold the professional credentials M.D.. They hold a License No. K1931 (TX). The NPI Number for DR. KAMLESH J. SISODIYA (M.D.) is 1003893397

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAMLESH J. SISODIYA (M.D.)
NPI
1003893397
Phone
(469) 326-5115
Address
1417 Gables Ct Ste 201
Enumeration Date
28 December 2005
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
4693265115
Graduation Year
1991 (35 years ago)
PAC ID
9436149408
Group Practice PAC ID
1557378601
Professional Enrollment ID
I20040513000468
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. KAMLESH J. SISODIYA (M.D.)

  • 1417 Gables Ct Ste 201

    Plano, TX 750757648

    Phone: (469) 326-5115

    Fax: (972) 715-9976

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752840853

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Mailing

  • Lyndon B Johnson Freeway, Inwood, Dallas, Dallas County, Texas, 75240, United States

    DALLAS, TX 75240

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

  • 4444 Heritage Trace Pkwy Ste 408

    Fort Worth, TX 762448918

    Phone: (817) 479-1500

    Fax: (512) 479-1504

    Type: Location

  • 1417 GABLES CT STE 201

    PLANO, TX 750757648

    Phone: (469) 326-5115

    Fax: (469) 326-5119

    Type: Mailing

  • 5400 STATE HIGHWAY 121 STE 100

    COLLEYVILLE, TX 760345929

    Phone: (817) 479-1500

    Fax: (817) 479-1504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,381.

Total Amount is formed as General ($1,381) + Research ($0) + Ownership ($0) = $1,381.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Genesys Orthopedics Systems, L.L.C. ($766).

Total Amount

$1,381

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2004-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040513000468IInterventional Pain ManagementTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes56895$0
J1100Injection, dexamethasone sodium phosphate, 1 mg34025$0
99214Established patient office or other outpatient visit, 30-39 minutes34098$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes241108$0
80307Testing for presence of drug, by chemistry analyzers20389$0
View full utilization report →

Insurance plans in this area (ZIP 75075)

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Provider's Procedures

DR. KAMLESH J. SISODIYA (M.D.) performs procedures in Interventional Pain Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTTX62311Injections of substances into lower or sacral spine4926

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: 1557378601View full group profile
NameSpecialtyState
-TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Physical Medicine And Rehabilitation, Pain ManagementTX
Pain Management, AnesthesiologyTX
Pain Management, AnesthesiologyTX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Physical Medicine And RehabilitationTX
Physical Medicine And Rehabilitation, Pain ManagementTX

Reviews

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Frequently asked questions

How do payers reference DR. KAMLESH J. SISODIYA (M.D.)?
For DR. KAMLESH J. SISODIYA (M.D.), use NPI 1003893397 as the unique 10-digit identifier.
Is there an active status for DR. KAMLESH J. SISODIYA (M.D.)?
For scheduling context, DR. KAMLESH J. SISODIYA (M.D.) is shown as active in the registry.
What expertise is attributed to DR. KAMLESH J. SISODIYA (M.D.)?
DR. KAMLESH J. SISODIYA (M.D.)'s specialty line reads Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KAMLESH J. SISODIYA (M.D.)?
Travel planning: use Plano, Texas as the reference point for DR. KAMLESH J. SISODIYA (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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