NPI age
18 years
Enumerated 2007-08-05
● Active
Type 1 · Individual
DR. Mini Sivadasan I, M.D.
Sivadasan is 1 of 60 thoracic surgery (cardiothoracic vascular surgery) providers in Dallas and 1 of 602 in Texas.
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Plus 4 subspecialties
Licensed in
TX, IN, WI, IL
4 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 602 active thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
NPI age
18 years
≈ at median (19 yr)
State licenses
4 states
Top 79% — 20% of peers are multi-state
Subspecialties
1
In the 41% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Practice location
3430 Wheatland Rd Building 1 Suite 202
Dallas, TX 752377523
Mailing address
3430 Wheatland Rd Pav I Ste 202
Dallas, TX 752375031
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1005 Broadway St
Quincy, IL 623012834
Specialties
-
Thoracic Surgery (Cardiothoracic Vascular Surgery) PrimaryA thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall,...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 1336330570 | |
| 05 (IN) | 201014710D | |
| 05 (IN) | 201014710B | |
| 05 (IL) | 036126598 | |
| 01 (IL) | 01618941 | BLUECROSS/BLUESHIELD IL |
| 05 (IN) | 201014710C | |
| 05 (WI) | 1336330570 | |
| 05 (IN) | 201014710A | |
| 05 (IN) | 201014710E |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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