JOTHI A SUKKAWALA (M.D.) – Anesthesiology Physician, NPI 1124086517

JOTHI A SUKKAWALA (M.D.) is a healthcare provider. based in Bryan, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. M3758 (TX). The NPI Number for JOTHI A SUKKAWALA (M.D.) is 1124086517

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JOTHI A SUKKAWALA (M.D.)
NPI
1124086517
Phone
(979) 776-4777
Address
1737 Briarcrest Dr
Enumeration Date
3 May 2006
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9797763777
Graduation Year
2000 (26 years ago)
PAC ID
4183648413
Group Practice PAC ID
0547256497
Professional Enrollment ID
I20070130000363
Address ID
TX778022544BR2801XDRXX300

Contacts

Secure Messaging
jsukkawala1320909@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,591 ANESTHESIOLOGY in TX

Provider Addresses for JOTHI A SUKKAWALA (M.D.)

  • 1737 Briarcrest Dr

    Suite 14

    Bryan, TX 778022769

    Phone: (979) 776-4777

    Fax: (979) 776-0588

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 700 SCOTT AND WHITE DR

    COLLEGE STATION, TX 778456441

    Phone: (979) 207-0100

    Fax: (979) 207-2161

    Type: Location

  • 1737, Briarcrest Drive, Bryan, Brazos County, Texas, 77802, United States

    SUITE 14

    BRYAN, TX 778022769

    Phone: (979) 776-4777

    Fax: (979) 776-0588

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-01-30

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
I20070130000363IAnesthesiologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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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: 0547256497View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
-TX
-TX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
Anesthesiology AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What federal number belongs to JOTHI A SUKKAWALA (M.D.)?
The federal identifier for JOTHI A SUKKAWALA (M.D.) is NPI 1124086517.
Is JOTHI A SUKKAWALA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JOTHI A SUKKAWALA (M.D.)?
The page reflects Anesthesiology Physician for JOTHI A SUKKAWALA (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JOTHI A SUKKAWALA (M.D.)?
The snapshot lists Bryan, Texas for JOTHI A SUKKAWALA (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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