DR. SUMAN BIREDDY M.D.
NPI 1093765299
Internal Medicine - Nephrology in Arlington, TX

Q: What is Suman Bireddy's NPI number?

The NPI number for Suman Bireddy is 1093765299. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Suman Bireddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Suman Bireddy was last updated on June 21, 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.

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment

3125 MATLOCK RD STE 107, ARLINGTON, TX 76015(817) 899-8109(888) 878-5157 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Suman Bireddy M.d. NPPES

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

DR. SUMAN BIREDDY M.D. (NPI 1093765299) is an individual nephrology provider in Arlington, Texas, licensed in Texas (M3472) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and maintains a secondary practice location in Colleyville.

NPPES Registry Identity

NPI1093765299

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SUMAN BIREDDYCredential: M.D.

Location Address3125 MATLOCK RD STE 107Arlington, TX 76015-2905

Mailing AddressPo Box 92Shannon, AL 35142-0092 · (888) 212-4243 · Fax (888) 878-5157

Phone(817) 899-8109

Fax(888) 878-5157

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateMay 11, 2006

Last NPPES UpdateJune 21, 2019

✔ NPI 1093765299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · M3472

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3125 MATLOCK RD STE 107, Arlington, TX 76015

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Secondary Practice Location 1

Location 12605 Highland Park CtColleyville, TX 76034 · Phone (888) 212-4243 · Fax (888) 878-5157

Other Identifiers 1

Medicaid182833704TX

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 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

Dr. Suman Bireddy 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 ID5698679082

PECOS Enrollment IDI20061002000083

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 9

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.

1,298 services298 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.

603 services197 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

258 services37 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.

181 services161 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

152 services121 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

101 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450064

Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County

Emergency services Birthing friendly

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450087

Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County

Emergency services

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450669

Location500 West Main StreetLewisville, TX 75057 · Denton County

Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450675

Location3301 Matlock RoadArlington, TX 76015 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76015 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%90 patients5/55-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.

Other Providers at the Same Location NPPES 4

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

DR. PONNAIAH C. MOHAN MD

Internal Medicine (Nephrology)

3125 MATLOCK RD STE 107
ARLINGTON, TX 76015

Tarrant County (817) 899-8109

SOUTH DALLAS INFECTIOUS DISEASES PLLC

Internal Medicine (Infectious Disease)

3125 MATLOCK RD STE 107
ARLINGTON, TX 76015

Tarrant County (888) 212-4243

RENAL SPECIALISTS OF NORTH TEXAS PLLC

Internal Medicine (Nephrology)

3125 MATLOCK RD STE 107
ARLINGTON, TX 76015

Tarrant County (817) 899-8109

WIDI AKPABIO NP

Nurse Practitioner (Acute Care)

3125 MATLOCK RD STE 107
ARLINGTON, TX 76015

Tarrant County (817) 899-8109

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 Suman Bireddy's NPI number?

The NPI number for Suman Bireddy is 1093765299. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Suman Bireddy located?

Suman Bireddy practices at 3125 Matlock Rd Ste 107, Arlington, TX 76015. The listed phone number is (817) 899-8109.

What is Suman Bireddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Suman Bireddy enrolled in Medicare?

Yes. Suman Bireddy 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 Suman Bireddy accept?

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

According to CMS data, Suman Bireddy is affiliated with Texas Health Arlington Memorial Hospital, Medical City North Hills, Baylor Scott & White Medical Center Grapevine, Medical City Lewisville and Medical City Arlington.

When was this NPI record last updated?

The NPPES record for Suman Bireddy was last updated on June 21, 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.