PRAVEENA SUNKARA M.D.
NPI 1043672041
Internal Medicine in Frisco, TX
About Praveena Sunkara M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAVEENA SUNKARA M.D. (NPI 1043672041) is an individual internal medicine provider in Frisco, Texas, licensed in Texas (U2331) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aubrey, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Praveena Sunkara 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.
Medicare Billing Reassignment
Medicare enrollment records show Praveena Sunkara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Frisco, TX 75035
- Reassigned Medicare billing, Texas enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRISCO, TX 75035
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 Praveena Sunkara's NPI number?
The NPI number for Praveena Sunkara is 1043672041. It was assigned to this individual provider in the NPPES registry on March 28, 2016.
Where is Praveena Sunkara located?
Praveena Sunkara practices at 8195 Custer Rd Ste 110, Frisco, TX 75035. The listed phone number is (214) 666-6259.
What is Praveena Sunkara's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Praveena Sunkara enrolled in Medicare?
Yes. Praveena 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.
Which organization bills Medicare for Praveena Sunkara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praveena Sunkara reassigns Medicare benefits to Php Ins Tx PLLC (Frisco, TX). The 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 Praveena Sunkara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Praveena 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 2 other insurers list Praveena 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.
When was this NPI record last updated?
The NPPES record for Praveena Sunkara was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Praveena Sunkara, M.D. · NPI 1043672041
Internal Medicine physician in Frisco, Texas. Individual provider, active in the CMS NPPES registry since March 28, 2016.
## Identity
- **NPI:** 1043672041 (Entity type: Individual)
- **Enumerated:** March 28, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** U2331 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 8195 CUSTER RD STE 110, Frisco, TX 75035-3195
- **Phone:** (214) 666-6259
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Php Ins Tx PLLC (NPI 1306455712, Frisco, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043672041) · Data from the CMS NPPES public registry.