SUNDARI PLASTICS LLC – Surgery Physician, NPI 1154577021

SUNDARI PLASTICS LLC is a healthcare provider. based in Hudson, Florida. specializing in Surgery Physician. The organization holds a License No. OS9566 (FL). The NPI Number for SUNDARI PLASTICS LLC is 1154577021

Main info

Organization
Name
SUNDARI PLASTICS LLC
NPI
1154577021
Phone
(727) 378-5808
Address
PO BOX 5441
Authorized Official
DR. JOHN BARRY ROACH JR. PRESIDENT D.O.
Enumeration Date
12 August 2008
Last Update Date
19 April 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for SUNDARI PLASTICS LLC

  • PO BOX 5441

    HUDSON, FL 346745441

    Phone: (727) 378-5808

    Fax: (727) 378-5810

    Type: Mailing

  • 14100, Fivay Road, Hudson, Pasco County, Florida, 34667, United States

    SUITE 130

    HUDSON, FL 346677180

    Phone: (727) 378-5808

    Fax: (727) 378-5810

    Type: Location

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: 2009-01-23

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
O20090123000486OClinic/Group PracticeFLTBD

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 34674)

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Reviews

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Frequently asked questions

Can I cross-check SUNDARI PLASTICS LLC using NPI 1154577021?
NPI 1154577021 belongs to SUNDARI PLASTICS LLC; compare other details if you need extra assurance.
Would SUNDARI PLASTICS LLC appear as active to a payer?
You can treat SUNDARI PLASTICS LLC as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SUNDARI PLASTICS LLC's focus?
For SUNDARI PLASTICS LLC, the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUNDARI PLASTICS LLC?
Travel planning: use Hudson, Florida as the reference point for SUNDARI PLASTICS LLC, then confirm.
When was this NPI issued?
Enumeration for SUNDARI PLASTICS LLC is noted as August 12, 2008 where the registry provides it.

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11322 HOLLANDER AVENUE
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14100 FIVAY RD STE 340
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