DR. SOWMYA NANJAPPA MD
NPI 1942565403
Internal Medicine - Infectious Disease in Plano, TX
About Dr. Sowmya Nanjappa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOWMYA NANJAPPA MD (NPI 1942565403) is an individual infectious disease provider in Plano, Texas, licensed in Texas (S4198) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and maintains 8 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 8
Accepted 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
Dr. Sowmya Nanjappa 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.
Medicare Billing Reassignments
11Medicare enrollment records show Sowmya Nanjappa reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plano, TX 75093
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 263 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Galax, VA 24333
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Uva Community Health Medical Group LLC
- 584 clinicians in this Medicare group
East Liverpool, OH 43920
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Raleigh, NC 27610
- Reassigned Medicare billing, North Carolina enrollment
- 182 clinicians in this Medicare group
Leechburg, PA 15656
- Reassigned Medicare billing, Pennsylvania enrollment
- 59 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 386 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 756 clinicians in this Medicare group
Berkeley Springs, WV 25411
- Reassigned Medicare billing, West Virginia enrollment
- 158 clinicians in this Medicare group
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
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical Center Of Mckinney
Acute Care Hospitals · Mckinney, TXMedical City Plano
Acute Care Hospitals · Plano, TXBaylor Scott & White Medical Center - Centennial
Acute Care Hospitals · Frisco, TXBaylor Scott And White Medical Center Mckinney
Acute Care Hospitals · Mc Kinney, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANO, TX 75093
PLANO, TX 75093
PLANO, TX 75093
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 Sowmya Nanjappa's NPI number?
The NPI number for Sowmya Nanjappa is 1942565403. It was assigned to this individual provider in the NPPES registry on July 11, 2012.
Where is Sowmya Nanjappa located?
Sowmya Nanjappa practices at 4100 W 15th St Ste 110, Plano, TX 75093. The listed phone number is (469) 408-9558.
What is Sowmya Nanjappa's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Sowmya Nanjappa enrolled in Medicare?
Yes. Sowmya Nanjappa 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 Sowmya Nanjappa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sowmya Nanjappa reassigns Medicare benefits to 11 organizations: Idcare, PLLC (Plano, TX), Vincentian Physician Services LLC (Birmingham, AL), Unm Medical Group Inc (Albuquerque, NM), Nmg Affiliate Practice I LLC (Galax, VA), University Of Pittsburgh Physicians (East Liverpool, OH) and 6 more organizations, listed in the Medicare section above. 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 Sowmya Nanjappa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sowmya Nanjappa accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 10 other insurers list Sowmya Nanjappa 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 Sowmya Nanjappa affiliated with any hospitals?
According to CMS data, Sowmya Nanjappa is affiliated with Medical Center Of Mckinney, Medical City Plano, Baylor Scott & White Medical Center - Centennial and Baylor Scott And White Medical Center Mckinney.
When was this NPI record last updated?
The NPPES record for Sowmya Nanjappa was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Sowmya Nanjappa, MD · NPI 1942565403
Infectious Disease physician in Plano, Texas. Individual provider, active in the CMS NPPES registry since July 11, 2012.
## Identity
- **NPI:** 1942565403 (Entity type: Individual)
- **Enumerated:** July 11, 2012
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** S4198 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4100 W 15TH ST STE 110, Plano, TX 75093-5826
- **Phone:** (469) 408-9558 · **Fax:** (888) 393-5922
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Idcare, PLLC (NPI 1093123085, Plano, TX); Vincentian Physician Services LLC (NPI 1851698310, Birmingham, AL); Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM); Nmg Affiliate Practice I LLC (NPI 1639474240, Galax, VA); University Of Pittsburgh Physicians (NPI 1811945793, East Liverpool, OH); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942565403) · Data from the CMS NPPES public registry.