MRS. SIREESHA MUTYALA MD
NPI 1306815139
Pediatrics in Plano, TX

Q: What is Sireesha Mutyala's NPI number?

The NPI number for Sireesha Mutyala is 1306815139. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Q: What is Sireesha Mutyala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sireesha Mutyala was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 15, 2006PECOS Enrolled

4512 LEGACY DR STE 200, PLANO, TX 75024(972) 491-7900(972) 491-7921 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2021, Feb 12, 2020 (2 updates tracked since 2020).

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About Mrs. Sireesha Mutyala Md NPPES

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

MRS. SIREESHA MUTYALA MD (NPI 1306815139) is an individual pediatrics provider in Plano, Texas, licensed in Texas (L0440) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306815139

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. SIREESHA MUTYALACredential: MD

Location Address4512 LEGACY DR STE 200Plano, TX 75024-2187

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(972) 491-7900

Fax(972) 491-7921

Sole ProprietorNo

Enumeration DateMarch 15, 2006

Last NPPES UpdateApril 13, 20212 updates tracked since enumeration

NPPES CertifiedApril 13, 2021

✔ NPI 1306815139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · L0440

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4512 LEGACY DR STE 200, Plano, TX 75024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sireesha Mutyala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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.

Other Providers at the Same Location NPPES 2

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

MS. RHONDA J MERCHANT MD

Pediatrics

4512 LEGACY DR STE 200
PLANO, TX 75024

Collin County (972) 491-7900

RHONDA J. MERCHANT, M.D., P.A.

Pediatrics

4512 LEGACY DR STE 200
PLANO, TX 75024

Collin County (972) 491-7900

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 Sireesha Mutyala's NPI number?

The NPI number for Sireesha Mutyala is 1306815139. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Sireesha Mutyala located?

Sireesha Mutyala practices at 4512 Legacy Dr Ste 200, Plano, TX 75024. The listed phone number is (972) 491-7900.

What is Sireesha Mutyala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sireesha Mutyala enrolled in Medicare?

Yes. Sireesha Mutyala is registered in the Medicare PECOS enrollment system.

What insurance does Sireesha Mutyala accept?

Health plans from Baylor Scott and White Health Plan list Sireesha Mutyala 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.

When was this NPI record last updated?

The NPPES record for Sireesha Mutyala was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.