DR. PRASHANTH R SUNKUREDDI M.D.
NPI 1568445740
Internal Medicine - Rheumatology in League City, TX

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3725 E LEAGUE CITY PKWY STE 200, LEAGUE CITY, TX 77573(281) 957-9127(281) 957-9157 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Prashanth R Sunkureddi M.d. NPPES

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

DR. PRASHANTH R SUNKUREDDI M.D. (NPI 1568445740) is an individual rheumatology provider in League City, Texas, licensed in Texas (M1374) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Clear Lake, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1568445740
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. PRASHANTH R SUNKUREDDICredential: M.D.
Location Address3725 E LEAGUE CITY PKWY STE 200League City, TX 77573-7374
Mailing Address3725 E League City Pkwy Ste 200League City, TX 77573-7374 · (281) 957-9127 · Fax (281) 957-9157
Fax(281) 957-9157
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 22, 2005
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1568445740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · M1374
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3725 E LEAGUE CITY PKWY STE 200, League City, TX 77573

Other Identifiers 2

Other8AR710TX · Bc/bs
OtherP00462677TX · 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. Prashanth R Sunkureddi 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 ID2365441391
PECOS Enrollment IDI20061220000228
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 29

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, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
93,800 services25 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
14,275 services24 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
14,105 services18 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
6,090 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,320 services52 patients
Injection, rituximab, 10 mg J9312
Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.
4,100 services12 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.15 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$104.61 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 3

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

Internal Medicine (Rheumatology)
3725 E LEAGUE CITY PKWY STE 200
LEAGUE CITY, TX 77573
Internal Medicine (Rheumatology)
3725 E LEAGUE CITY PKWY STE 200
LEAGUE CITY, TX 77573
Internal Medicine (Rheumatology)
3725 E LEAGUE CITY PKWY STE 200
LEAGUE CITY, TX 77573

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 Prashanth Sunkureddi's NPI number?

The NPI number for Prashanth Sunkureddi is 1568445740. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Prashanth Sunkureddi located?

Prashanth Sunkureddi practices at 3725 E League City Pkwy Ste 200, League City, TX 77573. The listed phone number is (281) 957-9127.

What is Prashanth Sunkureddi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Prashanth Sunkureddi enrolled in Medicare?

Yes. Prashanth Sunkureddi 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 Prashanth Sunkureddi accept?

Health plans from CHRISTUS Health Plan list Prashanth Sunkureddi 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 Prashanth Sunkureddi affiliated with any hospitals?

According to CMS data, Prashanth Sunkureddi is affiliated with Hca Houston Healthcare Clear Lake.

When was this NPI record last updated?

The NPPES record for Prashanth Sunkureddi was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.