NPIMap

Individual provider Active NPI

Sumana Ketha, MD

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1962447805
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7311 Issued in TX
Practice address
2925 Skyway Cir N
Irving, TX 75038-3510
Phone
(972) 639-5838
Fax
(972) 791-8211
NPI assigned
Jun 17, 2006
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K7311 TX Primary

Addresses

Primary practice location

2925 Skyway Cir N
Irving, TX 75038-3510

Mailing address

2925 Skyway Cir N
Irving, TX 75038-3510
Phone (972) 639-5838

Other identifiers 1

IdentifierTypeStateIssuer
038961105MedicaidTX

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
I20040724000335 TX Practitioner - Internal Medicine 9032199468 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
DFW Primary Care PLLCGroup PAC ID 8628201498, 3 clinicians
DFW Medical Home PLLCGroup PAC ID 8921223843, 4 clinicians
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians
Sumana Ketha MD PAGroup PAC ID 6103860044, 3 clinicians

Practice addresses (Care Compare)

2925 Skyway Cir N
Irving, TX 75038-3510

2925 Skyway Circle N
DFW Geriatrics PLLC
Irving, TX 75038-3510
Phone (972) 247-3060

5515 Glen Lakes Dr
Dallas, TX 75231-4309
Phone (801) 891-1038

9525 Greenville Ave
Dallas, TX 75243-4116
Phone (214) 355-2600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Primary Care PLLC Internal Medicine CurrentSince Jan 26, 2014 Accepting new patients
DFW Medical Home PLLC CurrentSince Mar 22, 2013 Accepting new patients
Sumana Ketha, MD PA Internal Medicine CurrentSince Jul 20, 2004 Accepting new patients
Daiya Healthcare PLLC Internal Medicine CurrentSince Aug 2, 2024 Accepting new patients
Nocona Hospital District Past Accepting new patients
Hospice Services Inc PastSince Sep 11, 2018 Accepting new patients
Abilene Internist and Associates PA Internal Medicine Past Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Internal Medicine Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Internal Medicine Past Accepting new patients
Hospice Plus Care Inc PastSince Jun 10, 2024 Accepting new patients
West Wharton County Hospital District Past Accepting new patients

Locations

5515 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 361-8923

9525 Greenville Ave
Dallas, TX 75243
Phone (214) 335-2600

2925 Skyway Cir N
Irving, TX 75038
Phone (972) 247-3060

2925 Skyway Cir N
#P
Irving, TX 75038
Phone (972) 675-7313

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Services IncIrving, TX, CCN A91533 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Sep 11, 2018
Sep 11, 2018
Sep 11, 2018
Sunlight Hospice Care LLCRichardson, TX, CCN A91736 Hospice Contracted Managing Employee Oct 7, 2025
Renown Hospice Care LLCMesquite, TX, CCN E21511 Hospice Contracted Managing Employee Apr 21, 2026
Proteam Hospice LLCDallas, TX, CCN E21504 Hospice Contracted Managing Employee (50%) Oct 14, 2024
Medcare Hospice LLCDallas, TX, CCN A91793 Hospice Contracted Managing Employee Jan 7, 2026

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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 15

Hospital & facility affiliations 9

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1962447805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SKYWAY CIR N",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383510",
            "telephone_number": "972-639-5838",
            "fax_number": "972-791-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SKYWAY CIR N",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383510",
            "telephone_number": "972-639-5838",
            "fax_number": "972-791-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETHA",
        "first_name": "SUMANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038961105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.