SUDAN MEDICAL CLINIC, LLC
SUDAN MEDICAL CLINIC, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1215942073, based in Sudan, TX. The organization lists 3 taxonomy classifications, with Physician Assistant recorded as primary.
Getting there
The practice address on file is 408 E US HWY 84, Sudan, TX 79371. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA02006 | TX | Physician Assistant primary |
| H4531 | TX | Family Medicine Physician |
This provider holds licence PA02006 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7618999004
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Texas | O20051229000131 | Part B Supplier - Clinic/group Practice |
| Texas | O20200102001562 | Part A Provider - Rural Health Clinic |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Physician Assistant covers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA02006 | TX | primary |
| 261QR1300X | Rural Health Clinic/Center Rural Health | — | — | |
| 207Q00000X | Family Medicine Physician | H4531 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1215942073 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 30, 2006 |
| Last updated | Apr 12, 2021 |
| Status | Active |
| Practice address |
408 E US HWY 84 Sudan, TX 79371 (806) 227-2292 Fax (806) 227-2293 |
| Mailing address |
PO BOX 119 Sudan, TX 79371 |
| Other identifiers |
118927111
· Other (TX) 00963Z · Other 137527 · Other (TX) 178241901 · Medicaid (TX) 178241902 · Medicaid (TX) 0074NH · Other (TX) 673950 · Other (TX) 673951 · Other (TX) 5594300001 · Other (TX) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 1 | 5 | 9 | 4 | 2 | 0 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 2 | 5 | 9 | 4 | 4 | 0 | 5 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.