DARYL SUDASENA NPI 1295153880

NPI Information

  • NPI: 1295153880
  • Provider Name: DARYL SUDASENA
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 406 BLACK HILLS LN SW
    OLYMPIA, WA
    ZIP 98502
  • Phone: (360) 754-1735

Map and Directions

Get Directions

NPI Details

Daryl Sudasena is an interventional cardiology internal medicine in Olympia, WA with 15 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Daryl Sudasena NPI is 1295153880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

406 BLACK HILLS LN SW
OLYMPIA, WA
ZIP 98502-143
Phone: (360) 754-1735

The NPI 1295153880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) (HCPCS:93017)
  • Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries (HCPCS:A9555)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring (HCPCS:93270)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress (HCPCS:78492)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Heart rhythm recording continous external ekg over more than 48 hours up to 7 days (HCPCS:93242)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 4/1/2014 and was last updated on 5/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineR9445TEXASNo
2207RC0000XInternal MedicineCardiovascular Disease307858NEW YORKNo
3207RI0011XInternal MedicineInterventional CardiologyMD61145791WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.