VENKAT R TIRUMALA M.D.
NPI 1659491298
Internal Medicine - Critical Care Medicine in Carmichael, CA

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
6555 COYLE AVE STE 215, CARMICHAEL, CA 95608(916) 536-2449(916) 844-1565 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2023, Sep 13, 2021, Aug 16, 2021 and 1 more (4 updates tracked since 2015).

About Venkat R Tirumala M.d. NPPES

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

VENKAT R TIRUMALA M.D. (NPI 1659491298) is an individual critical care medicine provider in Carmichael, California, licensed in California (A127488) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1659491298
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameVENKAT R TIRUMALACredential: M.D.
Location Address6555 COYLE AVE STE 215Carmichael, CA 95608-0303
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 844-1565
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 29, 2007
Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
NPI 1659491298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · A127488
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A127488 (CA), MD203230 (OR)
6555 COYLE AVE STE 215, Carmichael, CA 95608

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

Venkat R Tirumala 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 ID3274630835
PECOS Enrollment IDI20131121001310
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
338 services233 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
292 services292 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services81 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
50 services50 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
48 services48 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.
45 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers40 claims40 services$32.09 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers35 claims70 services$1.51 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
2 suppliers14 claims28 services$1.14 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
7 suppliers11 claims11 services$15.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers47 claims47 services$67.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers42 claims107 services$26.21 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.

Internal Medicine (Pulmonary Disease)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608
Internal Medicine (Critical Care Medicine)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608
Internal Medicine (Critical Care Medicine)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608
Internal Medicine (Critical Care Medicine)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608
Internal Medicine (Critical Care Medicine)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608
Internal Medicine (Pulmonary Disease)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608
Internal Medicine (Pulmonary Disease)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608
Internal Medicine (Pulmonary Disease)
6555 COYLE AVE STE 215
CARMICHAEL, CA 95608

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 Venkat Tirumala's NPI number?

The NPI number for Venkat Tirumala is 1659491298. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Venkat Tirumala located?

Venkat Tirumala practices at 6555 Coyle Ave Ste 215, Carmichael, CA 95608. The listed phone number is (916) 536-2449.

What is Venkat Tirumala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Venkat Tirumala enrolled in Medicare?

Yes. Venkat Tirumala 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.

When was this NPI record last updated?

The NPPES record for Venkat Tirumala was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.