SUDHEER TANGELLA MD
NPI 1124382536
Family Medicine in Jackson, MS
About Sudheer Tangella Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUDHEER TANGELLA MD (NPI 1124382536) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (836-L) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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
Sudheer Tangella Md 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 Reassignments
2Medicare enrollment records show Sudheer Tangella reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Medical Foundation Of Central Mississippi Inc
- 423 clinicians in this Medicare group
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 154 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSKing's Daughters Medical Center-Brookhaven
Acute Care Hospitals · Brookhaven, MSMississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSBaptist Medical Center-Yazoo
Critical Access Hospitals · Yazoo City, MSBaptist Medical Center-Leake
Critical Access Hospitals · Carthage, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Sudheer Tangella's NPI number?
The NPI number for Sudheer Tangella is 1124382536. It was assigned to this individual provider in the NPPES registry on June 29, 2012.
Where is Sudheer Tangella located?
Sudheer Tangella practices at 878 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 984-6800.
What is Sudheer Tangella's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sudheer Tangella enrolled in Medicare?
Yes. Sudheer Tangella 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 Sudheer Tangella's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sudheer Tangella reassigns Medicare benefits to 2 organizations: Baptist Jackson Heart Cardiology Clinic-Magee (Jackson, MS) and Mississippi Baptist Medical Center, Inc. (Jackson, MS). 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 Sudheer Tangella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sudheer Tangella accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Sudheer Tangella 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 Sudheer Tangella affiliated with any hospitals?
According to CMS data, Sudheer Tangella is affiliated with University Of Mississippi Med Center, King's Daughters Medical Center-Brookhaven, Mississippi Baptist Medical Center, Baptist Medical Center-Yazoo and Baptist Medical Center-Leake.
When was this NPI record last updated?
The NPPES record for Sudheer Tangella was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sudheer Tangella, MD · NPI 1124382536
Family Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 29, 2012.
## Identity
- **NPI:** 1124382536 (Entity type: Individual)
- **Enumerated:** June 29, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 836-L (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 878 LAKELAND DR, Jackson, MS 39216-4644
- **Phone:** (601) 984-6800 · **Fax:** (601) 984-6811
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Baptist Jackson Heart Cardiology Clinic-Magee (NPI 1902178346, Jackson, MS); Mississippi Baptist Medical Center, Inc. (NPI 1467589556, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 29, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1124382536) · Data from the CMS NPPES public registry.