SUMANA REDDY
NPI 1336702828
Internal Medicine - Gastroenterology in Chapel Hill, NC
About Sumana Reddy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMANA REDDY (NPI 1336702828) is an individual gastroenterology provider in Chapel Hill, North Carolina, licensed in Texas (V9111) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Lake Pointe, and is a graduate of Paul L Foster School Of Medicine, Texas Tech Univ (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Sumana Reddy 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.
Medicare Billing Reassignment
Medicare enrollment records show Sumana Reddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Heath, TX 75032
- Reassigned Medicare billing, Texas enrollment
- 3,167 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott And White Medical Center Lake Pointe
Acute Care Hospitals · Rowlett, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27514 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
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 Sumana Reddy's NPI number?
The NPI number for Sumana Reddy is 1336702828. It was assigned to this individual provider in the NPPES registry on April 19, 2019.
Where is Sumana Reddy located?
Sumana Reddy practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (984) 974-1000.
What is Sumana Reddy's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Sumana Reddy enrolled in Medicare?
Yes. Sumana Reddy 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 organization bills Medicare for Sumana Reddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumana Reddy reassigns Medicare benefits to Healthtexas Provider Network (Heath, 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 Sumana Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumana Reddy accept?
Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sumana Reddy 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 Sumana Reddy affiliated with any hospitals?
According to CMS data, Sumana Reddy is affiliated with Baylor Scott And White Medical Center Lake Pointe.
When was this NPI record last updated?
The NPPES record for Sumana Reddy was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sumana Reddy · NPI 1336702828
Gastroenterology physician in Chapel Hill, North Carolina. Individual provider, active in the CMS NPPES registry since April 19, 2019.
## Identity
- **NPI:** 1336702828 (Entity type: Individual)
- **Enumerated:** April 19, 2019
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** V9111 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 MANNING DR, Chapel Hill, NC 27514-4220
- **Phone:** (984) 974-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthtexas Provider Network (NPI 1538164116, Heath, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Paul L Foster School Of Medicine, Texas Tech Univ, class of 2019
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336702828) · Data from the CMS NPPES public registry.