DR. SUMAN TANDRA M.D.
NPI 1982960662
Family Medicine in Sioux City, IA

Q: What is Suman Tandra's NPI number?

The NPI number for Suman Tandra is 1982960662. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Q: What is Suman Tandra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Suman Tandra was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment

85.57/100

CMS Quality Rating

801 5TH ST, SIOUX CITY, IA 51101(712) 270-2010 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2019, May 20, 2019 (2 updates tracked since 2019).

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About Dr. Suman Tandra M.d. NPPES

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

DR. SUMAN TANDRA M.D. (NPI 1982960662) is an individual family medicine provider in Sioux City, Iowa, licensed in Iowa (42598) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1982960662

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SUMAN TANDRACredential: M.D.

Location Address801 5TH STSioux City, IA 51101-1326

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(712) 270-2010

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 6, 2012

Last NPPES UpdateJuly 23, 20192 updates tracked since enumeration

✔ NPI 1982960662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 42598

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD-42598 (IA)

801 5TH ST, Sioux City, IA 51101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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. Suman Tandra M.d. 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 ID3971745381

PECOS Enrollment IDI20150901001249

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

227 services216 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

99 services96 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

56 services53 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Mercyone Siouxland Medical Center

Acute Care Hospitals · Sioux City, IA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160153

Location801 5th StSioux City, IA 51101 · Woodbury County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51101 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

85.57/100

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

Scored as part of a group practice

Quality

82.84

Improvement Activities

Cost

63.86

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. KRISTI JO HANSEN P.A.

Physician Assistant

801 5TH ST
SIOUX CITY, IA 51101

Woodbury County (712) 279-2512

KIRSTEN MARIE NEDVED

Nurse Practitioner

801 5TH ST
SIOUX CITY, IA 51101

Woodbury County (712) 294-7020

NICOLE MARIE KASSING

Physical Therapy Assistant

801 5TH ST
SIOUX CITY, IA 51101

Woodbury County (712) 233-5129

MARK EDWARD DAVIS CNP

Nurse Practitioner

801 5TH ST
SIOUX CITY, IA 51101

Woodbury County (712) 279-2010

DR. BRETT C. BIEBER PHARM.D. (RPH)

Pharmacist

801 5TH ST, MERCY MEDICAL CENTER - MAIN PHARMACY
SIOUX CITY, IA 51101

Woodbury County (712) 279-5992

GINGER DAWN HAMILTON FNP

Nurse Practitioner

801 5TH ST
SIOUX CITY, IA 51101

Woodbury County (712) 279-2010

DEBORAH CARTER CRNA

Nurse Anesthetist, Certified Registered

801 5TH ST
SIOUX CITY, IA 51101

Woodbury County (712) 279-2505

DR. PETER JON ANDERSON M.D.

Internal Medicine

801 5TH ST
SIOUX CITY, IA 51101

Woodbury County (712) 279-2010

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 Suman Tandra's NPI number?

The NPI number for Suman Tandra is 1982960662. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Suman Tandra located?

Suman Tandra practices at 801 5th St, Sioux City, IA 51101. The listed phone number is (712) 270-2010.

What is Suman Tandra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suman Tandra enrolled in Medicare?

Yes. Suman Tandra 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 Suman Tandra accept?

Health plans from Medica and Oscar Insurance Company list Suman Tandra 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 Suman Tandra affiliated with any hospitals?

According to CMS data, Suman Tandra is affiliated with St Lukes Regional Medical Center and Mercyone Siouxland Medical Center.

When was this NPI record last updated?

The NPPES record for Suman Tandra was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.