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SUMA GUDUR M.D
NPI 1043461585
Internal Medicine in Irving, TX

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
1705 COTTONWOOD VALLEY CIR S, IRVING, TX 75038(407) 374-3455 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2019, Feb 25, 2019, Sep 24, 2017 (3 updates tracked since 2017).

About Suma Gudur M.d NPPES

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

SUMA GUDUR M.D (NPI 1043461585) is an individual internal medicine provider in Irving, Texas, licensed in Texas (P9361) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Methodist Charlton Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043461585
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUMA GUDURCredential: M.D
Location Address1705 COTTONWOOD VALLEY CIR SIrving, TX 75038-6212
Mailing AddressPo Box 734538Dallas, TX 75373-4538 · (407) 374-3455 · Fax (972) 252-3019
Phone(407) 374-3455
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 2, 2008
Last NPPES UpdateMarch 12, 20193 updates tracked since enumeration
✔ NPI 1043461585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · P9361✔ Licensed in GA · 70391✔ Licensed in FL · ME105338
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1705 COTTONWOOD VALLEY CIR S, Irving, TX 75038
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Other Identifiers 2

MedicaidMCAR CL906ZFL
MedicaidMAID 001423800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suma Gudur M.d 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 ID4183763477
PECOS Enrollment IDI20140613000808
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Suma Gudur reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Synergy Emergency Consultants, PLLC
9.2 mi
General Practice
405 STATE HIGHWAY 121 BYP STE A250
Lewisville, TX 75067
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
NPI 1215440508 (940) 784-3310
Suma Gudur MD PA
16 mi
Internal Medicine
3500 W WHEATLAND RD
Dallas, TX 75237
  • Reassigned Medicare billing, Texas enrollment
NPI 1710410634 (407) 374-3455
Lonestar Hospital Medicine Associates, PA
21 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
384 services175 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
129 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
116 services113 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services48 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
91%188 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$10.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Suma Gudur's NPI number?

The NPI number for Suma Gudur is 1043461585. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Suma Gudur located?

Suma Gudur practices at 1705 Cottonwood Valley Cir S, Irving, TX 75038. The listed phone number is (407) 374-3455.

What is Suma Gudur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Suma Gudur enrolled in Medicare?

Yes. Suma Gudur 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.

Which organizations bill Medicare for Suma Gudur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suma Gudur reassigns Medicare benefits to 3 organizations: Synergy Emergency Consultants, PLLC (Lewisville, TX), Suma Gudur MD PA (Dallas, TX) and Lonestar Hospital Medicine Associates, PA (Mansfield, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suma Gudur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suma Gudur accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Suma Gudur 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 Suma Gudur affiliated with any hospitals?

According to CMS data, Suma Gudur is affiliated with Methodist Charlton Medical Center.

When was this NPI record last updated?

The NPPES record for Suma Gudur was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.