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PADMINI PRIYA TUMMALA MD
NPI 1669519500
Internal Medicine - Cardiovascular Disease in Upland, CA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
914 W FOOTHILL BLVD STE A, UPLAND, CA 91786(909) 285-6717(909) 946-8700 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Padmini Priya Tummala Md NPPES

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

PADMINI PRIYA TUMMALA MD (NPI 1669519500) is an individual cardiovascular disease provider in Upland, California, licensed in California (A61977) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1669519500
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NamePADMINI PRIYA TUMMALACredential: MD
Location Address914 W FOOTHILL BLVD STE AUpland, CA 91786-3785
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1488
Phone(909) 285-6717
Fax(909) 946-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1669519500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A61977
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
914 W FOOTHILL BLVD STE A, Upland, CA 91786
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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

Padmini Priya Tummala Md 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 ID1153306303
PECOS Enrollment IDI20050715000828
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 11

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.
567 services234 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
215 services188 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
136 services133 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
133 services114 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.
49 services49 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.43
Promoting Interoperability75
Improvement Activities40
Cost81.11

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 40 patients
100%42 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%272 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DEEPAALEYA MEDICAL INC.
Internal Medicine (Cardiovascular Disease)
914 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 285-6717
MONTE VISTA PHYSICIANS A MEDICAL CORPORATION
Family Medicine
914 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 931-0069
CHAPARRAL MEDICAL GROUP INC.
Internal Medicine (Cardiovascular Disease)
914 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 285-6717
DR. ADAM J NOVAK M.D.
Family Medicine
914 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 931-0069

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 Padmini Tummala's NPI number?

The NPI number for Padmini Tummala is 1669519500. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Padmini Tummala located?

Padmini Tummala practices at 914 W Foothill Blvd Ste A, Upland, CA 91786. The listed phone number is (909) 285-6717.

What is Padmini Tummala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Padmini Tummala enrolled in Medicare?

Yes. Padmini Tummala 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 Padmini Tummala was last updated on October 11, 2023. 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.