NPI age
6 years
Enumerated 2019-09-03
● Active
Type 1 · Individual
Lucas Martinus Suryakusuma, MPAS, PA-C
Suryakusuma is 1 of 1160 physician assistant providers in Dallas and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-09Enumerated in NPPES
2019
2026
Where they practice
Practice location
5323 Harry Hines Blvd Stop 7200
Dallas, TX 753900001
Mailing address
Po Box 845347
Dallas, TX 752847208
Specialties
-
Physician Assistant PrimaryA 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...
-
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.
Practice context
Part of a multi-provider practice. 437 other active providers share this practice address in NPPES.
Recently enumerated nearby: 15 new physician assistant providers have been added in Dallas in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 11022 Physician Assistant providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.