Individual provider Active NPI

Padmini Priya Tummala, MD

  • Cardiovascular Disease Physician
  • Upland, CA
National Provider Identifier
1669519500
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A61977 Issued in CA
Practice address
914 W Foothill Blvd Ste a
Upland, CA 91786-3785
Phone
(909) 285-6717
Fax
(909) 946-8700
NPI assigned
Jan 31, 2007
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A61977 CA Primary

Addresses

Primary practice location

914 W Foothill Blvd Ste a
Upland, CA 91786-3785

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050715000828 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 1153306303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1866 N Orange Grove Ave
Suite 202
Pomona, CA 91767-3042
Phone (909) 623-8796

8330 Red Oak St
Suite 101
Rancho Cucamonga, CA 91730-0603
Phone (909) 987-4922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61977CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Nuclear, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Chaparral Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Mar 1, 2023 Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Mar 1, 2023 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
North Phoenix Heart Center Cardiovascular Disease Past Accepting new patients
Chaparral Medical Group Inc Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Past Accepting new patients
VHS of Phoenix Inc Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Honorhealth Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Chino Medical Group, Inc Past Accepting new patients
B Don Ahn MD Inc Cardiovascular Disease Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

840 Towne Center Dr
Pomona, CA 91767

8330 Red Oak St
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 987-4922

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

914 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 285-6717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 17

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.

View all 17

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1669519500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 W FOOTHILL BLVD STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863785",
            "telephone_number": "909-285-6717",
            "fax_number": "909-946-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "PADMINI",
        "middle_name": "PRIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A61977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.