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SOWMYA SUNKARA
NPI 1003348384
Obstetrics & Gynecology - Gynecologic Oncology in Houston, TX

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
ONE BAYLOR PLAZA, BCM610, HOUSTON, TX 77030(832) 826-7372 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Jun 28, 2025, Sep 6, 2023 and 1 more (4 updates tracked since 2017).

About Sowmya Sunkara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOWMYA SUNKARA (NPI 1003348384) is an individual gynecologic oncology provider in Houston, Texas, licensed in Texas (T0947) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Texas Tech University Health Science Center School Of Medicine (2017).

NPPES Registry Identity

NPI1003348384
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameSOWMYA SUNKARA
Location AddressONE BAYLOR PLAZA, BCM610Houston, TX 77030-3411
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201
Phone(832) 826-7372
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1003348384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in TX · T0947
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License T0947 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
ONE BAYLOR PLAZA, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sowmya Sunkara is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527456433
PECOS Enrollment IDI20211026002931
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAUDIA JESSY HENRIQUEZ LOPEZ MD
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (713) 798-5928
SAJIVA ARYAL MBBS
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (713) 798-5490
MONICA HANNA MD
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (832) 826-1549
ANA MARIA GOMEZ-BALLEN MD
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (832) 822-3230
MARYAM ASHFAQ M.D.
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (713) 798-5490
ADRIANA MARIA ECHEVERRIA DE BENEGAS M.D.
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (713) 798-5490
AYSE AKCAN ARIKAN MD
Pediatrics (Pediatric Critical Care Medicine)
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (832) 826-6230
CARLOS RAFAEL VARGAS
Pediatrics (Pediatric Critical Care Medicine)
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Harris County (832) 826-6208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sowmya Sunkara's NPI number?

The NPI number for Sowmya Sunkara is 1003348384. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Sowmya Sunkara located?

Sowmya Sunkara practices at One Baylor Plaza Bcm610, Houston, TX 77030. The listed phone number is (832) 826-7372.

What is Sowmya Sunkara's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Sowmya Sunkara enrolled in Medicare?

Yes. Sowmya Sunkara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sowmya Sunkara accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sowmya Sunkara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sowmya Sunkara affiliated with any hospitals?

According to CMS data, Sowmya Sunkara is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Sowmya Sunkara was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.