DR. VENKAT P TUMMALA MD
NPI 1427207968
Radiology - Diagnostic Radiology in Lakeland, FL

Q: What is Venkat Tummala's NPI number?

The NPI number for Venkat Tummala is 1427207968. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Q: What is Venkat Tummala's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Venkat Tummala was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 09, 2008PECOS Enrolled

2125 CRYSTAL GROVE DR, LAKELAND, FL 33801(863) 688-2334 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2019, Feb 29, 2016 (2 updates tracked since 2016).

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About Dr. Venkat P Tummala Md NPPES

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

DR. VENKAT P TUMMALA MD (NPI 1427207968) is an individual diagnostic radiology provider in Lakeland, Florida, licensed in Florida (ME109603) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427207968

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. VENKAT P TUMMALACredential: MD

Location Address2125 CRYSTAL GROVE DRLakeland, FL 33801-6875

Mailing Address2125 Crystal Grove DrLakeland, FL 33801-6875 · (863) 688-2334

Phone(863) 688-2334

Sole ProprietorYes

Enumeration DateSeptember 9, 2008

Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration

✔ NPI 1427207968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in FL · ME109603

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License ME109603 (FL)

2125 CRYSTAL GROVE DR, Lakeland, FL 33801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Venkat P Tummala 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.

Medicare Billing Reassignments

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

Radiology & Imaging Specialists Of Lakeland

Same address

Diagnostic Radiology

2115 CRYSTAL GROVE DR
Lakeland, FL 33801

Reassigned Medicare billing, Florida enrollment
83 clinicians in this Medicare group

NPI 1427049931 (863) 688-2334

Manatee Memorial Hospital LP

53 mi

Body Imaging

300 RIVERSIDE DR E STE 4300
Bradenton, FL 34208

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Manatee Memorial Hospital L P
80 clinicians in this Medicare group

NPI 1821458829 (941) 747-3034

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 33801 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…

26%85 patients

Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…

19%70 patients

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections

Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…

100%77 patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

92%51 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. KEVIN JAMES SAWYER M.D.

Radiology (Diagnostic Radiology)