DR. VELLAIAPPAN SOMASUNDARAM MD
NPI 1891745386
Internal Medicine in Frisco, TX

Q: What is Vellaiappan Somasundaram's NPI number?

The NPI number for Vellaiappan Somasundaram is 1891745386. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Vellaiappan Somasundaram's specialty?

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

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment

97.4/100

CMS Quality Rating

8195 CUSTER RD STE 110, FRISCO, TX 75035(214) 666-6259 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Feb 4, 2026, Feb 16, 2021 (3 updates tracked since 2021).

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About Dr. Vellaiappan Somasundaram Md NPPES

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

DR. VELLAIAPPAN SOMASUNDARAM MD (NPI 1891745386) is an individual internal medicine provider in Frisco, Texas, licensed in Kentucky (35436) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Prosper.

NPPES Registry Identity

NPI1891745386

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. VELLAIAPPAN SOMASUNDARAMCredential: MD

Location Address8195 CUSTER RD STE 110Frisco, TX 75035-3195

Mailing Address230 O Connor Ridge Blvd Ste 110Irving, TX 75038-6513 · (214) 666-6259

Phone(214) 666-6259

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateMay 12, 2006

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1891745386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in KY · 35436✔ Licensed in TX · T9601

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35436 (KY)

8195 CUSTER RD STE 110, Frisco, TX 75035

Open in Google Maps ↗

Secondary Practice Location 1

Location 11630 W Prosper Trl Ste 430Prosper, TX 75078-3742 · Phone (214) 666-6259

Other Identifiers 4

MedicaidT9601TX

OtherS0413253WV · Medicare

Medicaid64013253KY

Other6000592001WV · Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Vellaiappan Somasundaram 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 ID4284530627

PECOS Enrollment IDI20031208000969, I20250814002828

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 8

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.

416 services189 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.

252 services148 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

166 services45 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

97 services38 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

95 services66 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number180069

Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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.

97.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.55

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

45%602 patients2/55-star benchmark: 96%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months

100%480 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%5,192 patients5/55-star benchmark: 100%

Documentation of Signed Opioid Treatment Agreement

All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record

100%665 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

96%4,247 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

28%25 patients2/55-star benchmark: 96%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

91%1,156 patients4/55-star benchmark: 99%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

100%222 patients5/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

59%1,156 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

8 suppliers98 claims193 services$5.84 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers40 claims40 services$0.96 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.17 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$4.92 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers27 claims52 services$1.72 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier15 claims15 services$41.76 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier26 claims52 services$2.45 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers19 claims19 services$62.50 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers184 claims184 services$18.57 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers60 claims60 services$6.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers210 claims210 services$104.05 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers80 claims16,528 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers28 claims2,880 services$0.09 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers28 claims1,670 services$0.15 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers66 claims66 services$20.04 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers26 claims26 services$192.68 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers95 claims95 services$24.97 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.

PRAVEENA SUNKARA M.D.

Internal Medicine

8195 CUSTER RD STE 110
FRISCO, TX 75035

Collin County (214) 666-6259

PRASHANTHI ATLURI MD

Internal Medicine (Cardiovascular Disease)

8195 CUSTER RD STE 110
FRISCO, TX 75035

Collin County (214) 666-6259

LIFETREE PEDIATRICS PLLC

Pediatrics

8195 CUSTER RD STE 110
FRISCO, TX 75035

Collin County (469) 830-8835

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 Vellaiappan Somasundaram's NPI number?

The NPI number for Vellaiappan Somasundaram is 1891745386. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Vellaiappan Somasundaram located?

Vellaiappan Somasundaram practices at 8195 Custer Rd Ste 110, Frisco, TX 75035. The listed phone number is (214) 666-6259.

What is Vellaiappan Somasundaram's specialty?

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

Is Vellaiappan Somasundaram enrolled in Medicare?

Yes. Vellaiappan Somasundaram 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 Vellaiappan Somasundaram accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Texas and 2 other insurers list Vellaiappan Somasundaram 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 Vellaiappan Somasundaram affiliated with any hospitals?

According to CMS data, Vellaiappan Somasundaram is affiliated with Pikeville Medical Center and Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vellaiappan Somasundaram was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.