Dr Pratap Reddy Tummala, MD - Medicare Rheumatology in Sherman, TX

Dr Pratap Reddy Tummala, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Sherman, Texas. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Select Physical Therapy Texas Limited Partnership and his current practice location is 1107 Sara Swamy Drive, Sherman, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 891-9303.

Dr Pratap Reddy Tummala is licensed to practice in Texas (license number L2713) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730187816.

Contact Information

Dr Pratap Reddy Tummala, MD
1107 Sara Swamy Drive,
Sherman, TX 75090-1779
(903) 891-9303
(903) 893-9604

Map and Direction




Physician's Profile

Full NameDr Pratap Reddy Tummala
GenderMale
SpecialityRheumatology
Experience33 Years
Location1107 Sara Swamy Drive, Sherman, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pratap Reddy Tummala graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1730187816
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 05/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749371581
  • Enrollment ID: I20110303000915

Medical Identifiers

Medical identifiers for Dr Pratap Reddy Tummala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730187816NPI-NPPES
161230101MedicaidTX
8J6030OtherTXBLUE CROSS PROVIDER NUMBE
146496802MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology L2713 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott And White Surgical Hospital At ShermaSherman, TXHospital
Texoma Medical CenterDenison, TXHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pratap Reddy Tummala allows following entities to bill medicare on his behalf.
Entity NameChoctaw Nation Of Oklahoma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659347623
PECOS PAC ID: 1759294838
Enrollment ID: O20031106000326
Entity NameArthritis And Rheumatism Center P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427188416
PECOS PAC ID: 1052402195
Enrollment ID: O20070803000458

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pratap Reddy Tummala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pratap Reddy Tummala, MD
1107 Sara Swamy Drive,
Sherman, TX 75090-1779

Ph: (903) 891-9303
Dr Pratap Reddy Tummala, MD
1107 Sara Swamy Drive,
Sherman, TX 75090-1779

Ph: (903) 891-9303

Reviews and Comments


Internal Medicine Doctors in Sherman, TX

Dr. Dale Curtis Davies, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 115 W Lamberth Rd Ste D, Sherman, TX 75092
Phone: 903-957-7200    Fax: 903-957-0009
Irfanullah Yusufzai, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Highland Ave, Suite 455, Sherman, TX 75092
Phone: 903-868-2800    Fax: 903-868-2822
Ronald Vanbuskirk, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Highland Ave, Sherman, TX 75092
Phone: 903-870-4611    
David F. Davis, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 425 N Highland Ave, Ste 120, Sherman, TX 75092
Phone: 903-361-7869    Fax: 903-598-7726
Patricia Sharkey, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 303 Sunset Blvd, Sherman, TX 75092
Phone: 903-891-1972    Fax: 902-892-6093
Dr. Joseph K Kim, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 204 Medical Dr Ste 240, Sherman, TX 75092
Phone: 903-364-4525    
Dr. Alan J Mcbride, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Highland Ave, Ste 101, Sherman, TX 75092
Phone: 903-892-8112    Fax: 903-893-8637

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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