Individual provider Active NPI

Neelima Tummala

  • Otolaryngology Physician
  • Reston, VA
National Provider Identifier
1609142355
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101264596 Issued in VA
Practice address
1860 Town Center Dr Ste 420
Reston, VA 20190-5901
Phone
(571) 313-0349
NPI assigned
Mar 27, 2012
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101264596 VA Primary
Otolaryngology Physician 207Y00000X MD046396 DC

Addresses

Primary practice location

1860 Town Center Dr Ste 420
Reston, VA 20190-5901

Mailing address

1401 S St NW Apt 503
Washington, DC 20009-5985
Phone (678) 520-8738

Other practice location 1

2300 M St NW Fl 4
Washington, DC 20037-1434
Phone (202) 741-3260

Other practice location 2

Department Of Otolaryngology
Medical Center Boulevard
Winston Salem, NC 27157
Phone (336) 716-3648

Other practice location 3

Department Of Otolaryngology
Medical Center Boulevard
Winston Salem, NC 27157
Phone (336) 716-3648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180918001976 DC Practitioner - Otolaryngology 7315254877 Reassigns benefits to 1 organization
I20240911001162 NY Practitioner - Otolaryngology 7315254877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

171 Delancey St
New York, NY 10002-3411
Phone (929) 455-2600

240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046396DCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2024 Accepting new patients
New York University Otolaryngology CurrentSince Oct 1, 2024 Accepting new patients
Medical Faculty Associates, Inc Otolaryngology CurrentSince Jul 26, 2018 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

2300 M St NW
Fl 4
Washington, DC 20037
Phone (202) 741-3250

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

159 E 53rd St
Fl 5
New York, NY 10022
Phone (646) 754-3300

171 Delancey St
Fl 2
New York, NY 10002
Phone (929) 455-2600

240 E 38th St
Fl 14
New York, NY 10016
Phone (212) 263-7349

1860 Town Center Dr
Ste 420
Reston, VA 20190
Phone (571) 313-0349

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ntummala4408212@nychhc.direct-ci.com
  • Direct secure messaging: ntummala673226@nyumc.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 10

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1609142355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S ST NW APT 503",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095985",
            "telephone_number": "678-520-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 420",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905901",
            "telephone_number": "571-313-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 M St NW Fl 4",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371434",
            "country_code": "US",
            "telephone_number": "202-741-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Department Of Otolaryngology",
            "address_2": "Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27157",
            "country_code": "US",
            "telephone_number": "336-716-3648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Department Of Otolaryngology",
            "address_2": "Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27157",
            "country_code": "US",
            "telephone_number": "336-716-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "NEELIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101264596",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD046396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.