DR. SUMITRA KONDA MD
NPI 1477789840
Hospitalist in Phoenixville, PA

Active since May 29, 2009PECOS Enrolled
824 MAIN STREET, SUITE 100, PHOENIXVILLE, PA 19460(610) 935-7300 Get Directions Write a Review

NPPES record last updated: May 19, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sumitra Konda Md NPPES

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

DR. SUMITRA KONDA MD (NPI 1477789840) is an individual hospitalist provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MD437972) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477789840
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SUMITRA KONDACredential: MD
Location Address824 MAIN STREET, SUITE 100Phoenixville, PA 19460-4478
Mailing Address3624 Market Street, Suite 560w Uphs-office Of Medical AffairsPhiladelphia, PA 19104-2617 · (215) 662-3958
Sole ProprietorNo
Enumeration DateMay 29, 2009
Last NPPES UpdateMay 19, 2017
✔ NPI 1477789840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD437972
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD437972 (PA), MT188166 (PA)
824 MAIN STREET, Phoenixville, PA 19460

Accepted 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. Sumitra Konda 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

2

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

Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers37 claims37 services$69.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier31 claims31 services$30.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Surgery
824 MAIN STREET, SUITE 300
PHOENIXVILLE, PA 19460
Family Medicine
824 MAIN STREET, SUITE 100
PHOENIXVILLE, PA 19460
Physician Assistant
824 MAIN STREET
PHOENIXVILLE, PA 19460
Internal Medicine (Pulmonary Disease)
824 MAIN STREET, SUITE 100
PHOENIXVILLE, PA 19460
Internal Medicine (Gastroenterology)
824 MAIN STREET
PHOENIXVILLE, PA 19460
Internal Medicine (Cardiovascular Disease)
824 MAIN STREET, SUITE 100
PHOENXIVILLE, PA 19460
Surgery
824 MAIN STREET, SUITE 300
PHOENIXVILLE, PA 19460
Surgery
824 MAIN STREET, SUITE 300
PHOENIXVILLE, PA 19460

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 Sumitra Konda's NPI number?

The NPI number for Sumitra Konda is 1477789840. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is Sumitra Konda located?

Sumitra Konda practices at 824 Main Street Suite 100, Phoenixville, PA 19460. The listed phone number is (610) 935-7300.

What is Sumitra Konda's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sumitra Konda enrolled in Medicare?

Yes. Sumitra Konda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sumitra Konda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumitra Konda reassigns Medicare benefits to 2 organizations: Cogent Healthcare Of Texas, PA (Dallas, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). 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 Sumitra Konda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumitra Konda accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Sumitra Konda 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.

When was this NPI record last updated?

The NPPES record for Sumitra Konda was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.