DR. SOWMYA BODDHULA MD
NPI 1134569825
Internal Medicine - Endocrinology, Diabetes & Metabolism in Longview, TX

Q: What is Sowmya Boddhula's NPI number?

The NPI number for Sowmya Boddhula is 1134569825. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Q: What is Sowmya Boddhula's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Sowmya Boddhula was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment

705 E MARSHALL AVE STE 1002, LONGVIEW, TX 75601(903) 315-4422 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Apr 5, 2022, Feb 11, 2022 and 3 more (6 updates tracked since 2017).

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About Dr. Sowmya Boddhula Md NPPES

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

DR. SOWMYA BODDHULA MD (NPI 1134569825) is an individual endocrinology, diabetes & metabolism provider in Longview, Texas, licensed in Texas (T1906) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134569825

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SOWMYA BODDHULACredential: MD

Location Address705 E MARSHALL AVE STE 1002Longview, TX 75601-5660

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400 · Fax (607) 547-6612

Phone(903) 315-4422

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 27, 2013

Last NPPES UpdateSeptember 12, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1134569825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TX · T1906

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 288270 (NY)

705 E MARSHALL AVE STE 1002, Longview, TX 75601

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Secondary Practice Locations 2

Location 1703 E Marshall Ave Ste 5008Longview, TX 75601-5557 · Phone (903) 315-5555

Location 2700 E Marshall AveLongview, TX 75601-5580 · Phone (903) 315-1488

Other Identifiers 3

Other1R9519TX · Medicare

Medicaid428571001TX

Other8QD098TX · Bcbs

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

Dr. Sowmya Boddhula 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.

PECOS PAC ID9133352875

PECOS Enrollment IDI20210723002981

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 4

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 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.

395 services201 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

92 services50 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.

89 services89 patients

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.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450032

Location700 E Marshall AveLongview, TX 75601 · Gregg County

Emergency services Birthing friendly

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450056

Location1201 W 38th StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450124

Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers100 claims100 services$184.91 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

6 suppliers14 claims14 services$203.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

MS. ERICA O SALAMI NP

Nurse Practitioner