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DR. CHAITANYA VENKATA TUMMALA MD
NPI 1518929959
Internal Medicine - Infectious Disease in Frisco, TX

Active since April 03, 2006PECOS Enrolled
60.37/100
CMS Quality Rating
4461 COIT RD, STE 409, FRISCO, TX 75035(214) 396-8877(214) 983-0983 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 23, 2019, Jul 2, 2019, Jun 11, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Chaitanya Venkata Tummala Md NPPES

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

DR. CHAITANYA VENKATA TUMMALA MD (NPI 1518929959) is an individual infectious disease provider in Frisco, Texas, licensed in Texas (L9525) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1518929959
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. CHAITANYA VENKATA TUMMALACredential: MD
Location Address4461 COIT RD, STE 409Frisco, TX 75035-0526
Mailing Address4461 Coit Rd Ste 409Frisco, TX 75035-0526 · (214) 396-8877 · Fax (214) 983-0983
Phone(214) 396-8877
Fax(214) 983-0983
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateApril 3, 2006
Last NPPES UpdateFebruary 29, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1518929959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · L9525
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
4461 COIT RD, Frisco, TX 75035
Open in Google Maps ↗

Other Identifiers 1

Medicaid172136703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chaitanya Venkata Tummala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315921541
PECOS Enrollment IDI20040615001850
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,221 services278 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
163 services150 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
140 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

60.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.9
Improvement Activities0
Cost65.95

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.

CENTER FOR ASSISTED REPRODUCTION
Obstetrics & Gynecology (Reproductive Endocrinology)
4461 COIT RD, SUITE 307
FRISCO, TX 75035
Collin County (972) 661-9544
MR. MICHAEL LEE BURNS OPA-C
Physician Assistant (Surgical)
4461 COIT RD, STE 101
FRISCO, TX 75035
Collin County (972) 335-8455
DR. JENNIFER BAILEY MD
Obstetrics & Gynecology
4461 COIT RD, SUITE 205
FRISCO, TX 75035
Collin County (972) 731-9299
NORTH CENTRAL TEXAS PHYSICAL MEDICINE & REHABILITATION PA
Physical Medicine & Rehabilitation
4461 COIT RD, SUITE 301
FRISCO, TX 75035
Collin County (214) 619-5425
MRS. CHRISTI KAY KOBALD PA-C, MMS
Physician Assistant (Surgical)
4461 COIT RD, SUITE 405
FRISCO, TX 75035
Collin County (972) 377-9200
YINGRAO CRAIG P.A.
Physician Assistant
4461 COIT RD, SUITE 405
FRISCO, TX 75035
Collin County (972) 377-9200
DR. SUJATHA KRISHNAN MD
Internal Medicine (Infectious Disease)
4461 COIT RD, STE 409
FRISCO, TX 75035
Collin County (214) 396-8877
ASHIS D PATEL DPT
Physical Therapist
4461 COIT RD, SUITE 201
FRISCO, TX 75035
Collin County (972) 464-5687

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 Chaitanya Tummala's NPI number?

The NPI number for Chaitanya Tummala is 1518929959. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Chaitanya Tummala located?

Chaitanya Tummala practices at 4461 Coit Rd Ste 409, Frisco, TX 75035. The listed phone number is (214) 396-8877.

What is Chaitanya Tummala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Chaitanya Tummala enrolled in Medicare?

Yes. Chaitanya Tummala is registered in the Medicare PECOS enrollment system.

What insurance does Chaitanya Tummala accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Chaitanya 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 Chaitanya Tummala affiliated with any hospitals?

According to CMS data, Chaitanya Tummala is affiliated with Methodist Richardson Medical Center and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Chaitanya Tummala was last updated on February 29, 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.