NPIMap

Individual provider Active NPI

Sirisha Thummalapenta

  • Neurology Physician
  • Wichita Falls, TX
National Provider Identifier
1851740088
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
T2769 Issued in TX
Practice address
1722 9TH St
Wichita Falls, TX 76301-5003
Phone
(940) 322-1075
Fax
(940) 322-8215
NPI assigned
Jun 8, 2016
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 T2769 TX Primary

Addresses

Primary practice location

1722 9TH St
Wichita Falls, TX 76301-5003

Mailing address

5011 Lantana Dr
Wichita Falls, TX 76310-3358
Phone (203) 446-7891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209001005 TX Practitioner - Neurology 8123307154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Texas Neurology Alliance PLLCGroup PAC ID 2062802895, 2 clinicians

Practice addresses (Care Compare)

1722 9TH St
Wichita Falls, TX 76301-5003
Phone (940) 322-1075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.87 of 100Reported as individual
Quality
80.35
Promoting interoperability
100
Improvement activities
40
Cost
45.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2769TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Neurology Alliance PLLC Neurology CurrentSince Oct 25, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1722 9th St
Wichita Falls, TX 76301
Phone (940) 322-1075

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sirisha.thummalapenta.p20@direct.diversifiedms.nextgenshare.com
  • Direct secure messaging: sirisha.thummalapenta.p21@direct.diversifiedms.nextgenshare.com

Organizations & group practices 2

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 7

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1851740088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 LANTANA DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103358",
            "telephone_number": "203-446-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015003",
            "telephone_number": "940-322-1075",
            "fax_number": "940-322-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMMALAPENTA",
        "first_name": "SIRISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-03-29",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.