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SAI SOUMYA S. KOTA M.D.
NPI 1710238514
Internal Medicine in Plano, TX

Active since September 20, 2012PECOS EnrolledAccepts Medicare Assignment
6101 K AVE STE F110, PLANO, TX 75074(972) 599-1314(972) 599-1227 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2025, Feb 27, 2023 (2 updates tracked since 2023).

About Sai Soumya S. Kota M.d. NPPES

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

SAI SOUMYA S. KOTA M.D. (NPI 1710238514) is an individual internal medicine provider in Plano, Texas, licensed in Texas (Q3392) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1710238514
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAI SOUMYA S. KOTACredential: M.D.
Location Address6101 K AVE STE F110Plano, TX 75074-2553
Mailing Address6101 K Ave Ste F110Plano, TX 75074-2553 · (972) 599-1314 · Fax (972) 599-1227
Phone(972) 599-1314
Fax(972) 599-1227
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 20, 2012
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1710238514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q3392
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6101 K AVE STE F110, Plano, TX 75074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sai Soumya S. Kota 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 ID2264741370
PECOS Enrollment IDI20151012000764
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 Reassignments

5

Medicare enrollment records show Sai Soumya Kota reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Clinic Of North Texas, PLLC
4.8 mi
Internal Medicine
5501 INDEPENDENCE PARKWAY, SUITE 110
Plano, TX 75023
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
NPI 1912955030 (972) 847-0712
Christus Trinity Clinic Texas
93 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Mother Frances Hospital Regional Health Care Center
93 mi
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1679578439 (903) 593-8441
Mother Frances Hospital Jacksonville
112 mi
Critical Access
2026 S JACKSON ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
NPI 1952306672 (903) 541-4500
Wellmed Medical Group, P.A.
198 mi
Family Medicine
3708 JEFFERSON ST, SUITE A
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Wellmed Medical Group PA
  • 762 clinicians in this Medicare group
NPI 1518265891 (512) 459-6503

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
342 services195 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
271 services187 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 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.
24 services23 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75074 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers39 claims113 services$6.70 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers30 claims44 services$1.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$90.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers16 claims90 services$19.21 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers19 claims19 services$59.51 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.

CHIHOON LEE FNP-C
Nurse Practitioner (Family)
6101 K AVE STE F110
PLANO, TX 75074
Collin County (972) 599-1314
MIKE W CONNER ARNP
Nurse Practitioner (Family)
6101 K AVE STE F110
PLANO, TX 75074
Collin County (972) 599-1314
AYESHA ALI NP
Nurse Practitioner (Family)
6101 K AVE STE F110
PLANO, TX 75074
Collin County (972) 599-1314

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 Sai Soumya Kota's NPI number?

The NPI number for Sai Soumya Kota is 1710238514. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Sai Soumya Kota located?

Sai Soumya Kota practices at 6101 K Ave Ste F110, Plano, TX 75074. The listed phone number is (972) 599-1314.

What is Sai Soumya Kota's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sai Soumya Kota enrolled in Medicare?

Yes. Sai Soumya Kota 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.

Which organizations bill Medicare for Sai Soumya Kota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sai Soumya Kota reassigns Medicare benefits to 5 organizations: Medical Clinic Of North Texas, PLLC (Plano, TX), Christus Trinity Clinic Texas (Tyler, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX), Mother Frances Hospital Jacksonville (Jacksonville, TX) and Wellmed Medical Group, P.A. (Austin, TX). Each 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 Sai Soumya Kota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sai Soumya Kota accept?

Health plans from Blue Cross and Blue Shield of Texas list Sai Soumya Kota 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 Sai Soumya Kota affiliated with any hospitals?

According to CMS data, Sai Soumya Kota is affiliated with Methodist Richardson Medical Center, Medical City Plano, Texas Health Presbyterian Hospital Plano and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Sai Soumya Kota was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.