Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daryl Sudasena

Individual provider Internal Medicine Physician · NPI 1295153880

Daryl Sudasena is a Cardiovascular Disease (Cardiology) in Olympia, Washington. Graduated from Saint Louis University School of Medicine in 2011, 15 years ago. Practices with Yakima Valley Memorial Physicians, a 401-clinician group and accepts Medicare assignment. Licensed in New York, Texas and Washington.

Years since qualifying
15
Trained at
Saint Louis University School of Medicine
Licensed in
NY, TX, WA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

406 Black Hills Ln SW
Olympia, WA 98502-8143
Phone: (360) 754-1735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD61145791 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R9445 (TX)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 307858 (NY)

Record details

NPI number1295153880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022
Mailing address406 Black Hills Ln Sw, Olympia, WA 98502-8143

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Yakima Valley Memorial Physicians — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Olympia