DR. PRAVEEN KUMAR TUMULA M.D
NPI 1447402896
Internal Medicine - Hematology & Oncology in Amarillo, TX

Active since October 16, 2008PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
1826 POINT WEST PKWY, AMARILLO, TX 79124(806) 358-8654(806) 356-8687 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Oct 23, 2017, Jan 28, 2016 (3 updates tracked since 2016).

About Dr. Praveen Kumar Tumula M.d NPPES

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

DR. PRAVEEN KUMAR TUMULA M.D (NPI 1447402896) is an individual hematology & oncology provider in Amarillo, Texas, licensed in Texas (P0509) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Northwest Texas Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447402896
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PRAVEEN KUMAR TUMULACredential: M.D
Location Address1826 POINT WEST PKWYAmarillo, TX 79124-2167
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (806) 356-8687
Fax(806) 356-8687
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 16, 2008
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1447402896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in TX · P0509
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License P0509 (TX)
1826 POINT WEST PKWY, Amarillo, TX 79124

Other Identifiers 2

Medicaid385163602TX
OtherP01520704TX · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Praveen Kumar Tumula M.d 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.

PECOS PAC ID9436321502
PECOS Enrollment IDI20111013000654
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.

Areas of Expertise CMS Part B claims 80

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
58,500 services58 patients
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
18,870 services27 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
15,630 services27 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
13,672 services118 patients
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram Q5110
Filgrastim-aafi (Nivestym) is a biosimilar injection used to stimulate the growth of white blood cells, which help the body fight off infections. It's often given to patients with low white blood cell counts due to cancer treatments or other conditions.
13,260 services12 patients
Injection, paclitaxel, 1 mg J9267
Paclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
12,255 services28 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450209
Location1501 S Coulter StAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Quail Creek Surgical Hospital

Acute Care Hospitals · Amarillo, TX
OwnershipProprietary
CMS Certification Number450875
Location6819 Plum CreekAmarillo, TX 79124 · Potter County
Emergency services

Ochiltree General Hospital

Critical Access Hospitals · Perryton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451359
Location3101 Garrett DrivePerryton, TX 79070 · Ochiltree County
Emergency services Birthing friendly

Pampa Regional Medical Center

Critical Access Hospitals · Pampa, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451398
Location1 Medical PlazaPampa, TX 79065 · Gray County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79124 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1826 POINT WEST PKWY
AMARILLO, TX 79124
Nurse Practitioner (Family)
1826 POINT WEST PKWY
AMARILLO, TX 79124
Internal Medicine (Hematology & Oncology)
1826 POINT WEST PKWY
AMARILLO, TX 79124
Pharmacy (Community/Retail Pharmacy)
1826 POINT WEST PKWY
AMARILLO, TX 79124
Internal Medicine (Medical Oncology)
1826 POINT WEST PKWY
AMARILLO, TX 79124
Colon & Rectal Surgery
1826 POINT WEST PKWY
AMARILLO, TX 79124
Internal Medicine (Hematology & Oncology)
1826 POINT WEST PKWY
AMARILLO, TX 79124

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 Praveen Tumula's NPI number?

The NPI number for Praveen Tumula is 1447402896. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Praveen Tumula located?

Praveen Tumula practices at 1826 Point West Pkwy, Amarillo, TX 79124. The listed phone number is (806) 358-8654.

What is Praveen Tumula's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Praveen Tumula enrolled in Medicare?

Yes. Praveen Tumula 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.

What insurance does Praveen Tumula accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Praveen Tumula 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 Praveen Tumula affiliated with any hospitals?

According to CMS data, Praveen Tumula is affiliated with Northwest Texas Hospital, Bsa Hospital, Quail Creek Surgical Hospital, Ochiltree General Hospital and Pampa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Praveen Tumula was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.