DR. SUMALATHA PATIBANDLA MD
NPI 1699713198
Internal Medicine - Hematology & Oncology in Beaumont, TX

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
3070 COLLEGE ST, SUITE 301, BEAUMONT, TX 77701(409) 813-1686(409) 813-3052 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sumalatha Patibandla Md NPPES

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

DR. SUMALATHA PATIBANDLA MD (NPI 1699713198) is an individual hematology & oncology provider in Beaumont, Texas, licensed in Texas (L7102) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1699713198
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SUMALATHA PATIBANDLACredential: MD
Location Address3070 COLLEGE ST, SUITE 301Beaumont, TX 77701-4691
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 437-9605
Fax(409) 813-3052
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 4, 2006
Last NPPES UpdateApril 12, 2017
NPI 1699713198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in TX · L7102
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License L7102 (TX)
3070 COLLEGE ST, Beaumont, TX 77701

Other Identifiers 10

Medicare PIN8A9930TX
Other8R1522TX · Blue Cross Of Texas
Medicaid159914402TX
Medicare PIN8F0566TX
Medicare UPINH91465TX
Medicaid159914403TX
Medicaid514019YZ21TX
Medicaid159914401TX
Medicare PIN8K8589TX
Medicare PINP00055556TX

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. Sumalatha Patibandla 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 ID6305873795
PECOS Enrollment IDI20050718000468
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 61

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, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
21,600 services50 patients
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
21,420 services28 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
10,635 services27 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,941 services73 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
7,600 services18 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
3,150 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77701 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
$164.93 typical visit price
range $54.04 – $164.93
Typical copayment $41.23 (range $13.51 – $41.23)
Most-billed visit code 99205
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Family Medicine
3070 COLLEGE ST, SUITE 120
BEAUMONT, TX 77701
Family Medicine
3070 COLLEGE ST, SUITE 120
BEAUMONT, TX 77701
Obstetrics & Gynecology
3070 COLLEGE ST, SUITE 207
BEAUMONT, TX 77701
Nurse Practitioner (Acute Care)
3070 COLLEGE ST, SUITE 300
BEAUMONT, TX 77701
Clinic/Center (Medical Specialty)
3070 COLLEGE ST, SUITE #201
BEAUMONT, TX 77701
Family Medicine
3070 COLLEGE ST, SUITE 201
BEAUMONT, TX 77701
Neurological Surgery
3070 COLLEGE ST, SUITE 100
BEAUMONT, TX 77701
Internal Medicine (Rheumatology)
3070 COLLEGE ST, SUITE 205
BEAUMONT, TX 77701

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 Sumalatha Patibandla's NPI number?

The NPI number for Sumalatha Patibandla is 1699713198. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Sumalatha Patibandla located?

Sumalatha Patibandla practices at 3070 College St Suite 301, Beaumont, TX 77701. The listed phone number is (409) 813-1686.

What is Sumalatha Patibandla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sumalatha Patibandla enrolled in Medicare?

Yes. Sumalatha Patibandla 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 Sumalatha Patibandla accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Sumalatha Patibandla 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 Sumalatha Patibandla affiliated with any hospitals?

According to CMS data, Sumalatha Patibandla is affiliated with Christus Southeast Texas- St Elizabeth, Baptist Beaumont Hospital and Christus Jasper Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sumalatha Patibandla was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.