SUMAN DONEPUDI M.D.
NPI 1295153914
Family Medicine in Frisco, TX

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
13024 DALLAS PKWY STE 110, FRISCO, TX 75033(469) 495-9025(469) 495-0141 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 22, 2026, Nov 22, 2019 (2 updates tracked since 2019).

About Suman Donepudi M.d. NPPES

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

SUMAN DONEPUDI M.D. (NPI 1295153914) is an individual family medicine provider in Frisco, Texas, licensed in Texas (R4959) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and maintains a secondary practice location in Frisco.

NPPES Registry Identity

NPI1295153914
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUMAN DONEPUDICredential: M.D.
Location Address13024 DALLAS PKWY STE 110Frisco, TX 75033-4240
Mailing Address9255 Dallas Pkwy Ste 110Frisco, TX 75033-4211 · (972) 377-1490 · Fax (972) 377-1499
Fax(469) 495-0141
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 31, 2014
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1295153914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · R4959
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13024 DALLAS PKWY STE 110, Frisco, TX 75033

Secondary Practice Location 1

Location 19255 Dallas Pkwy Ste 110Frisco, TX 75033-4211 · Phone (972) 377-1490 · Fax (972) 377-1499

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

Suman Donepudi 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 ID7113214768
PECOS Enrollment IDI20180109001220
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Suman Donepudi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4001 W 15TH ST STE 245
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 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 19

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
343 services277 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.
197 services116 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
180 services124 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
178 services123 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
178 services124 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
173 services123 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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

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
9 suppliers20 claims57 services$5.08 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 3

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

Physician Assistant
13024 DALLAS PKWY STE 110
FRISCO, TX 75033
Physician Assistant (Medical)
13024 DALLAS PKWY STE 110
FRISCO, TX 75033
Physician Assistant
13024 DALLAS PKWY STE 110
FRISCO, TX 75033

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 Donepudi's NPI number?

The NPI number for Suman Donepudi is 1295153914. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Suman Donepudi located?

Suman Donepudi practices at 13024 Dallas Pkwy Ste 110, Frisco, TX 75033. The listed phone number is (469) 495-9025.

What is Suman Donepudi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suman Donepudi enrolled in Medicare?

Yes. Suman Donepudi 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 Suman Donepudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suman Donepudi reassigns Medicare benefits to 2 organizations: Medical Clinic Of North Texas, PLLC (Plano, TX) and Texas Health Physicians Group (Dallas, TX). 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 Suman Donepudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suman Donepudi accept?

Health plans from Blue Cross and Blue Shield of Texas list Suman Donepudi 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 Donepudi affiliated with any hospitals?

According to CMS data, Suman Donepudi is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Suman Donepudi was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.