DR. MOUNIKA TUMMALA MD
NPI 1437462413
Hospitalist in Charlottesville, VA
About Dr. Mounika Tummala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MOUNIKA TUMMALA MD (NPI 1437462413) is an individual hospitalist provider in Charlottesville, Virginia, licensed in Virginia (0101259281) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Reston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Mounika Tummala Md 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 Reassignments
6Medicare enrollment records show Mounika Tummala reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 584 clinicians in this Medicare group
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1063377315 (District of Columbia)
- 1,294 clinicians in this Medicare group
Ranson, WV 25438
- Reassigned Medicare billing, West Virginia enrollment
- 231 clinicians in this Medicare group
South Charleston, WV 25309
- Reassigned Medicare billing, West Virginia enrollment
- 72 clinicians in this Medicare group
Wheeling, WV 26003
- Reassigned Medicare billing, West Virginia enrollment
- 193 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Virginia enrollment
- 528 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVBerkeley Medical Center
Acute Care Hospitals · Martinsburg, WVJefferson Medical Center
Critical Access Hospitals · Ranson, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
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 Mounika Tummala's NPI number?
The NPI number for Mounika Tummala is 1437462413. It was assigned to this individual provider in the NPPES registry on July 20, 2010.
Where is Mounika Tummala located?
Mounika Tummala practices at 500 Martha Jefferson Dr, Charlottesville, VA 22911. The listed phone number is (434) 654-7580.
What is Mounika Tummala's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mounika Tummala enrolled in Medicare?
Yes. Mounika Tummala 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 organizations bill Medicare for Mounika Tummala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mounika Tummala reassigns Medicare benefits to 6 organizations: Uva Community Health Medical Group, LLC (Charlottesville, VA), Emergency Medicine Associates P.A., P.C. (Culpeper, VA), City Hospital, Inc. (Ranson, WV), Hospitalist Medicine Physicians Of West Virginia- Tcg PLLC (South Charleston, WV), Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV) and 1 more organization, listed in the Medicare section above. Each 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 Mounika Tummala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mounika Tummala accept?
Health plans from CareSource list Mounika Tummala 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 Mounika Tummala affiliated with any hospitals?
According to CMS data, Mounika Tummala is affiliated with West Virginia University Hospitals, Inc, Berkeley Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Mounika Tummala was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Mounika Tummala, MD · NPI 1437462413
Hospitalist physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since July 20, 2010.
## Identity
- **NPI:** 1437462413 (Entity type: Individual)
- **Enumerated:** July 20, 2010
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 0101259281 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 MARTHA JEFFERSON DR, Charlottesville, VA 22911-4668
- **Phone:** (434) 654-7580 · **Fax:** (434) 654-7582
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Uva Community Health Medical Group, LLC (NPI 1598475741, Charlottesville, VA); Emergency Medicine Associates P.A., P.C. (NPI 1881559102, Culpeper, VA); City Hospital, Inc. (NPI 1336657493, Ranson, WV); Hospitalist Medicine Physicians Of West Virginia- Tcg PLLC (NPI 1386122844, South Charleston, WV); Hospitalist Medicine Physicians Of West Virginia, PLLC (NPI 1649575101, Wheeling, WV); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** August 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1437462413) · Data from the CMS NPPES public registry.