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SUMITHA ATLURI MD
NPI 1265513923
Internal Medicine in Irving, TX

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
701 TUSCAN DR STE 125, IRVING, TX 75039(214) 964-0600 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Sumitha Atluri Md NPPES

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

SUMITHA ATLURI MD (NPI 1265513923) is an individual internal medicine provider in Irving, Texas, licensed in Texas (N4924) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1265513923
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUMITHA ATLURICredential: MD
Location Address701 TUSCAN DR STE 125Irving, TX 75039-3838
Mailing AddressPo Box 845347Dallas, TX 75284-7208 · (817) 920-6300
Phone(214) 964-0600
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 2, 2020
✔ NPI 1265513923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · N4924✔ Licensed in MI · 4301080083
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.
701 TUSCAN DR STE 125, Irving, TX 75039
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Other Names 1

Other Name (5)Sumitha Kongara Md

Secondary Practice Location 1

Location 1855 MontgomeryFort Worth, TX 76107-2553 · Phone (817) 920-6300

Other Identifiers 5

Medicaid215872703TX
Other8EQ924TX · Bcbs
Medicaid215872701TX
OtherP01055120TX · Railroad Medicare
Other8CL733TX · 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

Sumitha Atluri 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 ID8123028818
PECOS Enrollment IDI20101025001094
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 8

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.
311 services156 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.
93 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
36 services36 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Medical City Las Colinas

Acute Care Hospitals · Irving, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450822
Location6800 N Macarthur BlvdIrving, TX 75039 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75039 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims68 services$6.33 avg. paid by Medicare
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
3 suppliers22 claims22 services$190.42 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

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

PAMELA SOYEBO NP-C
Nurse Practitioner (Family)
701 TUSCAN DR STE 125
IRVING, TX 75039
Dallas County (214) 964-0600

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 Sumitha Atluri's NPI number?

The NPI number for Sumitha Atluri is 1265513923. It was assigned to this individual provider in the NPPES registry on October 18, 2006. The provider is also known as Sumitha Kongara MD.

Where is Sumitha Atluri located?

Sumitha Atluri practices at 701 Tuscan Dr Ste 125, Irving, TX 75039. The listed phone number is (214) 964-0600.

What is Sumitha Atluri's specialty?

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

Is Sumitha Atluri enrolled in Medicare?

Yes. Sumitha Atluri 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 Sumitha Atluri 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 1 other insurer list Sumitha Atluri 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 Sumitha Atluri affiliated with any hospitals?

According to CMS data, Sumitha Atluri is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., Baylor Scott & White Medical Center At Irving and Medical City Las Colinas.

When was this NPI record last updated?

The NPPES record for Sumitha Atluri was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.