Individual provider Active NPI

Sunita Tummala

  • Neurology Physician
  • Flint, MI
National Provider Identifier
1568537207
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301075291 Issued in MI
Practice address
5084 W Pierson Rd
Flint, MI 48504-1390
Phone
(810) 733-5700
Fax
(810) 732-6464
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301075291 MI Primary

Addresses

Primary practice location

5084 W Pierson Rd
Flint, MI 48504-1390

Mailing address

5084 W Pierson Rd
Flint, MI 48504-1390
Phone (810) 733-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000627 MI Practitioner - Neurology 2062474141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5084 W Pierson Rd
Flint, MI 48504-1344
Phone (810) 733-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.67 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
81.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301075291MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunita Tummala MD PLC Neurology CurrentSince Aug 1, 2007 Accepting new patients
Complete Health Systems Inc CurrentSince Dec 1, 2017 Accepting new patients
Complete Health Systems Inc Past Accepting new patients

Locations

5084 W Pierson Rd
Flint, MI 48504
Phone (810) 732-2950

38800 Ryan Rd
Ste 102
Sterling Hts, MI 48310
Phone (586) 274-0123

Interoperability endpoints

  • Direct secure messaging: stummala1156053@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1568537207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041390",
            "telephone_number": "810-733-5700",
            "fax_number": "810-732-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041390",
            "telephone_number": "810-733-5700",
            "fax_number": "810-732-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "SUNITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301075291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.