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SUNIL KONGARA M.D.
NPI 1144632167
Internal Medicine in Wichita Falls, TX

Active since May 25, 2014PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1631 11TH STREET, UNIT B, WICHITA FALLS, TX 76301(940) 263-3000(940) 263-3018 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Apr 19, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Sunil Kongara M.d. NPPES

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

SUNIL KONGARA M.D. (NPI 1144632167) is an individual internal medicine provider in Wichita Falls, Texas, licensed in Texas (R2383) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1144632167
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUNIL KONGARACredential: M.D.
Location Address1631 11TH STREET, UNIT BWichita Falls, TX 76301-4917
Mailing Address1631 11th Street, Unit BWichita Falls, TX 76301-4917 · (940) 263-3000 · Fax (940) 263-3018
Phone(940) 263-3000
Fax(940) 263-3018
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 25, 2014
Last NPPES UpdateDecember 17, 20254 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1144632167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R2383
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.
Also ListedHospitalistTaxonomy 208M00000X · License 01097193A (IN)
1631 11TH STREET, Wichita Falls, TX 76301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Sunil Kongara 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 ID1456617810
PECOS Enrollment IDI20241011003410, I20250926001080
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 3

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.
358 services123 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.
96 services95 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.
88 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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…
95%78 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims29 services$17.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers37 claims38 services$81.94 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 20

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

JASON ABRAHAM
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
CRISTINA BEATRICE
Family Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
YA WEN FUH MD
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
WILLIAM HARRISON SCHMAUS DO
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
ANIRUDH TADAKAMALLA
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
STEFANIE JANINE MARCO MD
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
IKECHUKWU RONALD OGBU MD
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
BANYAR AUNG MD
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000

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 Sunil Kongara's NPI number?

The NPI number for Sunil Kongara is 1144632167. It was assigned to this individual provider in the NPPES registry on May 25, 2014.

Where is Sunil Kongara located?

Sunil Kongara practices at 1631 11th Street Unit B, Wichita Falls, TX 76301. The listed phone number is (940) 263-3000.

What is Sunil Kongara's specialty?

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

Is Sunil Kongara enrolled in Medicare?

Yes. Sunil Kongara 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 Sunil Kongara accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 4 other insurers list Sunil Kongara 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 Sunil Kongara affiliated with any hospitals?

According to CMS data, Sunil Kongara is affiliated with Heartland Regional Medical Center, Deaconess Hospital Inc, Memorial Hospital And Health Care Center, Gibson General Hospital and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Sunil Kongara was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.