SIRISHA THUMMALAPENTA
NPI 1851740088
Psychiatry & Neurology - Neurology in Wichita Falls, TX

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
92.69/100
CMS Quality Rating
1722 9TH ST, WICHITA FALLS, TX 76301(940) 322-1075(940) 322-8215 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sirisha Thummalapenta NPPES

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

SIRISHA THUMMALAPENTA (NPI 1851740088) is an individual neurology provider in Wichita Falls, Texas, licensed in Texas (T2769) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1851740088
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSIRISHA THUMMALAPENTA
Location Address1722 9TH STWichita Falls, TX 76301-5003
Mailing Address5011 Lantana DrWichita Falls, TX 76310-3358 · (203) 446-7891
Fax(940) 322-8215
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 8, 2016
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedJanuary 25, 2022
NPI 1851740088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TX · T2769
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1722 9TH ST, Wichita Falls, TX 76301

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

Sirisha Thummalapenta 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 ID8123307154
PECOS Enrollment IDI20211209001005
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 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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
3,202 services107 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
646 services108 patients
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.
467 services280 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
339 services116 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.
212 services212 patients
Testing of autonomic (sympathetic) nervous system function 95923
Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.
78 services78 patients

Hospital Affiliations CMS Care Compare 5

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450584
Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County
Emergency services

Kell West Regional Hospital

Acute Care Hospitals · Wichita Falls, TX
OwnershipProprietary
CMS Certification Number450827
Location5420 Kell West BoulevardWichita Falls, TX 76310 · Wichita County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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.

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.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.38
Improvement Activities40

Reported Quality Measures

Advance Care Plan
94%361 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
45%29 patients2/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
98%2,391 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%349 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%2,226 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 704 patients
Patients screened: 100% · 704 patients
100%134 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
89%226 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 371 patients
Patients totalRate: 4% · 371 patients
2%371 patients4/55-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 17

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

Physician Assistant (Surgical)
1722 9TH ST
WICHITA FALLS, TX 76301
Psychiatry & Neurology (Neurology)
1722 9TH ST
WICHITA FALLS, TX 76301
Audiologist
1722 9TH ST
WICHITA FALLS, TX 76301
Clinic/Center (Magnetic Resonance Imaging (MRI))
1722 9TH ST
WICHITA FALLS, TX 76301
Psychiatry & Neurology (Neurology)
1722 9TH ST
WICHITA FALLS, TX 76301
Psychiatry & Neurology (Pain Medicine)
1722 9TH ST
WICHITA FALLS, TX 76301
Neurological Surgery
1722 9TH ST
WICHITA FALLS, TX 76301
Neurological Surgery
1722 9TH ST
WICHITA FALLS, TX 76301

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 Sirisha Thummalapenta's NPI number?

The NPI number for Sirisha Thummalapenta is 1851740088. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Sirisha Thummalapenta located?

Sirisha Thummalapenta practices at 1722 9th St, Wichita Falls, TX 76301. The listed phone number is (940) 322-1075.

What is Sirisha Thummalapenta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sirisha Thummalapenta enrolled in Medicare?

Yes. Sirisha Thummalapenta 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 Sirisha Thummalapenta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sirisha Thummalapenta 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 Sirisha Thummalapenta affiliated with any hospitals?

According to CMS data, Sirisha Thummalapenta is affiliated with United Regional Health Care System, Ut Southwestern University Hospital - William P. Clements Jr., Baylor Scott & White Medical Center At Irving, Wilbarger General Hospital and Kell West Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sirisha Thummalapenta was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.