NPI Details
Sumana Ketha, MD is an internal medicine in Irving, TX with 28 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Sumana Ketha, MD NPI is 1962447805. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1998
The provider's business location address is:
2925 SKYWAY CIR N
IRVING, TX
ZIP 75038-510
Phone: (972) 639-5838
Fax: (972) 791-8211
The NPI 1962447805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient home visit, typically 1 hour (HCPCS:99350)
- Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
- Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days (HCPCS:99091)
- Established patient home visit, typically 40 minutes (HCPCS:99349)
- Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
- New patient home visit, typically 75 minutes (HCPCS:99345)
- Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
- Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Ultrasound study of arm and leg arteries (HCPCS:93922)
- Testing of autonomic nervous system function and heart rate response to deep breathing (HCPCS:95921)
- Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
- Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Established patient home visit, typically 25 minutes (HCPCS:99348)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
- Transitional care management services for problem of high complexity (HCPCS:99496)
The enumeration date for this NPI number is 6/17/2006 and was last updated on 5/10/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | K7311 | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 038961105 | MEDICAID | TEXAS | |