MRS. SIREESHA MUTYALA MD
NPI 1306815139
Pediatrics in Plano, TX
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Sireesha Mutyala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sireesha Mutyala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 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.
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.
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.
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.
Which organization bills Medicare for Sireesha Mutyala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sireesha Mutyala reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Sireesha Mutyala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mrs. Sireesha Mutyala, MD · NPI 1306815139
Pediatrics physician in Plano, Texas. Individual provider, active in the CMS NPPES registry since March 15, 2006.
## Identity
- **NPI:** 1306815139 (Entity type: Individual)
- **Enumerated:** March 15, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** L0440 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4512 LEGACY DR STE 200, Plano, TX 75024-2187
- **Phone:** (972) 491-7900 · **Fax:** (972) 491-7921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1306815139) · Data from the CMS NPPES public registry.