SUMANKRISHNA KOTLA MD
NPI 1972769396
Internal Medicine - Nephrology in Dallas, TX

Q: What is Sumankrishna Kotla's NPI number?

The NPI number for Sumankrishna Kotla is 1972769396. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Q: What is Sumankrishna Kotla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment

411 N WASHINGTON AVE STE 6000, DALLAS, TX 75246(214) 358-2300(214) 579-6988 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2026, Sep 3, 2020 (2 updates tracked since 2020).

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About Sumankrishna Kotla Md NPPES

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

SUMANKRISHNA KOTLA MD (NPI 1972769396) is an individual nephrology provider in Dallas, Texas, licensed in Texas (R1400) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1972769396

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameSUMANKRISHNA KOTLACredential: MD

Location Address411 N WASHINGTON AVE STE 6000Dallas, TX 75246-1789

Mailing Address1505 Lbj Fwy Ste 700Dallas, TX 75234-6065 · (214) 358-2300 · Fax (214) 579-6941

Phone(214) 358-2300

Fax(214) 579-6988

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 5, 2008

Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1972769396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · R1400

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License R1400 (TX)

411 N WASHINGTON AVE STE 6000, Dallas, TX 75246

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Secondary Practice Location 1

Location 13604 Live Oak St Ste 100Dallas, TX 75204-6169 · Phone (214) 358-2300 · Fax (214) 579-6985

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sumankrishna Kotla 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 ID1355519828

PECOS Enrollment IDI20200619002539

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 Reassignment

Medicare enrollment records show Sumankrishna Kotla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dallas Nephrology Associates

12 mi

Nephrology

1505 LBJ FWY STE 700
Dallas, TX 75234

Reassigned Medicare billing, Texas enrollment
183 clinicians in this Medicare group

NPI 1861440109 (214) 358-2300

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

470 services144 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

242 services96 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

196 services70 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

61 services57 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.

42 services22 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.

27 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Baylor Scott & White Heart & Vascular Hospital - Dallas

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450851

Location621 North Hall StreetDallas, TX 75226 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 9

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

4 suppliers110 claims38,850 services$1.22 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

13 suppliers234 claims34,806 services$0.31 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers263 claims40,575 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers19 claims3,300 services$0.58 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

7 suppliers66 claims10,580 services$0.19 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers272 claims45,240 services$0.91 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 20

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

MS. XUNXI SUSAN GUO MD

Internal Medicine (Nephrology)