Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508804121 Individual Practitioner Male Practitioner

Dr. Suresh N Pathikonda , MD

Pediatrics • Victoria, TX

Professional Overview & Biography Verified Profile Summary

Dr. Suresh Pathikonda, MD is a registered healthcare professional specializing in Pediatrics in Victoria, TX. Practice services are available at 601 E AIRLINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 E Airline Rd

Victoria, TX 779013926

Telephone 3615758500
Fax 3615758416
Associated Practice Facility / Clinic
🏢 Airline Pediatrics, P.a. Facility NPI 1073644852

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Victoria, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Victoria, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX J8083

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
079684902 (TX)
Medicaid State Provider ID
079684901 (TX)
Medicaid State Provider ID
127014205 (TX)
Medicaid State Provider ID
127014203 (TX)
Commercial Insurance / Payer ID Individual Bcbs
88071B (TX)
Commercial Insurance / Payer ID Tax Id
742777132 (TX)
Commercial Insurance / Payer ID Group Bcbs
0039AZ (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1578504619

Doctor of Medicine (M.D.)

Olivia Sager , MSN, RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1649676198

Master of Science in Nursing, Registered Nurse, Certified Pediatric Nurse Practitioner

NPI 1972099166

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2010

Registered at 601 E AIRLINE RD, VICTORIA, TX 779013926 (Tel: 3615758500)

📍
Updated Business Mailing Address April 01, 2010

Registered at 601 E AIRLINE RD, VICTORIA, TX 779013926 (Tel: 3615758500)

👤
Provider Name / Credentials Updated April 01, 2010

Recorded as SURESH PATHIKONDA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2010

Pediatrics (License #J8083 in TX)

🟢
Initial NPI Registration & Enumeration June 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508804121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2006
Last Update: April 01, 2010
Sole Proprietor: No

Mailing Address

601 E Airline Rd

Victoria, TX 779013926

Phone: 3615758500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.