DR. PRATAP REDDY TUMMALA MD
NPI 1730187816
Internal Medicine - Rheumatology in Sherman, TX
About Dr. Pratap Reddy Tummala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRATAP REDDY TUMMALA MD (NPI 1730187816) is an individual rheumatology provider in Sherman, Texas, licensed in Texas (L2713) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Pratap Reddy 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.
Areas of Expertise CMS Part B claims 22
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Choctaw Nation Health Services Authority
Acute Care Hospitals · Talihina, OKParis Regional Medical Center
Acute Care Hospitals · Paris, TXTexoma Medical Center
Acute Care Hospitals · Denison, TXTmc- Bonham Hospital
Critical Access Hospitals · Bonham, TXBaylor Scott And White Surgical Hospital At Sherma
Acute Care Hospitals · Sherman, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHERMAN, TX 75090
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 Pratap Tummala's NPI number?
The NPI number for Pratap Tummala is 1730187816. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Pratap Tummala located?
Pratap Tummala practices at 1107 Sara Swamy Dr, Sherman, TX 75090. The listed phone number is (903) 891-9303.
What is Pratap Tummala's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Pratap Tummala enrolled in Medicare?
Yes. Pratap 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.
What insurance does Pratap Tummala accept?
Health plans from UnitedHealthcare list Pratap Tummala 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 Pratap Tummala affiliated with any hospitals?
According to CMS data, Pratap Tummala is affiliated with Choctaw Nation Health Services Authority, Paris Regional Medical Center, Texoma Medical Center, Tmc- Bonham Hospital and Baylor Scott And White Surgical Hospital At Sherma.
When was this NPI record last updated?
The NPPES record for Pratap Tummala was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.