SOUMYA BILLA MD
NPI 1598106437
Pediatrics in Prosper, TX

Active since July 08, 2013PECOS Enrolled
2120 PRAIRIE DR STE 102, PROSPER, TX 75078(972) 544-9455(972) 544-9465 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Soumya Billa Md NPPES

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

SOUMYA BILLA MD (NPI 1598106437) is an individual pediatrics provider in Prosper, Texas, licensed in Texas (V3248) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mckinney, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598106437
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSOUMYA BILLACredential: MD
Location Address2120 PRAIRIE DR STE 102Prosper, TX 75078-3818
Mailing Address13917 Round Prairie LnFrisco, TX 75035-2469 · (318) 278-7282
Fax(972) 544-9465
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 8, 2013
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1598106437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · V3248✔ Licensed in NM · MD2019-0212
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2120 PRAIRIE DR STE 102, Prosper, TX 75078

Secondary Practice Location 1

Location 12148 N Lake Forest Dr Ste 304McKinney, TX 75071-0654 · Phone (972) 544-9455 · Fax (972) 544-9465

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)

Soumya Billa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557836194
PECOS Enrollment IDI20260410001606
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 Reassignment

Medicare enrollment records show Soumya Billa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
2120 PRAIRIE DR STE 102
Prosper, TX 75078
  • Reassigned Medicare billing, Texas enrollment
  • 5 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 75078 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 6

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

Pediatrics
2120 PRAIRIE DR STE 102
PROSPER, TX 75078
Nurse Practitioner (Pediatrics)
2120 PRAIRIE DR STE 102
PROSPER, TX 75078
Pediatrics
2120 PRAIRIE DR STE 102
PROSPER, TX 75078
Nurse Practitioner (Pediatrics)
2120 PRAIRIE DR STE 102
PROSPER, TX 75078
Pediatrics
2120 PRAIRIE DR STE 102
PROSPER, TX 75078
Pediatrics
2120 PRAIRIE DR STE 102
PROSPER, TX 75078

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 Soumya Billa's NPI number?

The NPI number for Soumya Billa is 1598106437. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Soumya Billa located?

Soumya Billa practices at 2120 Prairie Dr Ste 102, Prosper, TX 75078. The listed phone number is (972) 544-9455.

What is Soumya Billa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Soumya Billa enrolled in Medicare?

Yes. Soumya Billa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soumya Billa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soumya Billa reassigns Medicare benefits to Prishiv Enterprises Inc (Prosper, TX). The 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 Soumya Billa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soumya Billa accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Soumya Billa 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 Soumya Billa was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.