DR. VENKAT P TUMMALA MD NPI 1427207968

Radiology (Diagnostic Radiology) in Lakeland, FL

NPI 1427207968 Individual Male Radiology Diagnostic Radiology PECOS Enrolled Medicare Quality Reporting

About VENKAT TUMMALA

Venkat Tummala is a provider established in Lakeland, Florida and his medical specialization is radiology (diagnostic radiology) . The NPI number of Venkat Tummala is 1427207968 and was assigned on September 2008. The practitioner's primary taxonomy code is 2085R0202X with license number ME109603 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Venkat Tummala is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Venkat Tummala is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: perioperative care: selection of prophylactic antibiotic - first or second generation cephalosporin, perioperative care: venous thromboembolism (vte) prophylaxis (when indicated in all patients), prevention of central venous catheter (cvc) - related bloodstream infections, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record and radiation consideration for adult ct: utilization of dose lowering techniques. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1427207968

Provider NameDR. VENKAT P TUMMALA MD
Provider Location Address2125 CRYSTAL GROVE DR LAKELAND, FL 33801
Provider Mailing Address2125 CRYSTAL GROVE DR LAKELAND, FL 33801
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-09-2008
Last Update Date07-18-2019


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.ME109603
License StateFL
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. VENKAT P TUMMALA MD
2125 CRYSTAL GROVE DR
LAKELAND, FL
ZIP 33801
Phone: (863) 688-2334

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Mailing Address

DR. VENKAT P TUMMALA MD
2125 CRYSTAL GROVE DR
LAKELAND, FL
ZIP 33801
Phone: (863) 688-2334



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 314X-ray of chest, 1 view, front (HCPCS:71010)
  • 138Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • 111Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • 80X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 50Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 47CT scan of abdomen and pelvis (HCPCS:74176)
  • 33Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • 28CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 28X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 25Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • 24Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 19Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 17X-ray of abdomen, single view (HCPCS:74000)
  • 15Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin 26% 85
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 prophylaxis
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) 19% 70
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), adjusted-dose warfarin, fondaparinux or mechanical prophylaxis to be given within 24 hours prior to incision time or within 24 hours after surgery end time
Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections 100% 77
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 techniques followed
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 92% 51
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 - Use of iterative reconstruction technique

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyME109603FLNo

Taxonomy Description: a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548526155VASCULAR SPECIALISTS OF LAKELAND, LLC
Organization
Surgery (Vascular Surgery)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1457342727DR. CHARLEY T. MYRICK III D. O.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1568435915DR. MARY T GRIFFEN MD
Individual
Radiology (Neuroradiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1326208034DR. JONG HO PARK M.D., M.P.H
Individual
Radiology (Vascular & Interventional Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1568626026 NARAYAN VISWANADHAN MD
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1063639342 ALEXANDER J FERNANDEZ M.D.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1003013848DR. KEVIN JAMES SAWYER M.D.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1154531887 SARA SAFDER M.D.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1417121120 JEFFREY JOSEPH GRONKIEWICZ M.D.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1871721167 JOSEPH DANIEL MULLEN MD
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1225589179 RODNEY SHAWN CARTER ARNP, FNP-C, MSN
Individual
Nurse Practitioner (Family)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1427049931RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Organization
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1942751813 TERESA M COLLETTI ARNP
Individual
Nurse Practitioner2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1336448562 NEEL D KARAMSADKAR M.D.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
1801185897 MATTHEW P BUZZEO M.D.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
1447439575 LAWRENCE R WHITNEY III M.D.
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1023248648 MICHAEL K GORDON MD
Individual
Radiology (Diagnostic Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1467866780 REKHABEN RAMANBHAI SUTHAR M.D.
Individual
Anesthesiology (Pain Medicine)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1811216732DR. RITU APARAJITA MD
Individual
Surgery (Vascular Surgery)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334
1508286329DR. MICHAEL ISSAC NAGIB MD
Individual
Radiology (Vascular & Interventional Radiology)2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
(863) 688-2334

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.