Pratap Tummala, MD
NPI 1730187816 · Rheumatology Physician · Sherman, TX
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratap Tummala, MD is a Rheumatology Physician provider in Sherman, TX (NPI 1730187816).
Provider details
- NPI number
- 1730187816
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- L2713 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,760 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,545 | $86 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 947 | $8 |
| X-Ray of Hand, Minimum of 3 Views73130 | 407 | $34 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 343 | $54 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 305 | $70 |
| X-Ray of Foot, Minimum of 3 Views73630 | 248 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Leflunomide | 538 | 134 |
| Gabapentin | 531 | 134 |
| Methotrexate Sodiumbrand: Methotrexate | 503 | 131 |
| Prednisone | 466 | 130 |
| Duloxetine Hcl | 437 | 99 |
| Hydroxychloroquine Sulfate | 414 | 92 |
| Sulfasalazine | 372 | 94 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$148 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Pratap Tummala's NPI number?
- Pratap Tummala's National Provider Identifier (NPI) is 1730187816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratap Tummala's specialty?
- Pratap Tummala is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pratap Tummala located?
- Pratap Tummala's practice location on file with NPPES is 1107 Sara Swamy Dr, Sherman, TX 75090-1779.
- What is Pratap Tummala's phone number?
- The practice phone number listed in the NPPES registry for Pratap Tummala is (903) 891-9303.
- Does Pratap Tummala accept Medicare?
- Pratap Tummala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratap Tummala's NPI active?
- Yes — Pratap Tummala's NPI (1730187816) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.