DR. SUMANTH MULAMALLA (MD) – Nephrology Physician, NPI 1003019647
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
269 NEPHROLOGY in IN
Provider Addresses for DR. SUMANTH MULAMALLA (MD)
15900 W 101ST AVE
DYER, IN 463113065
Phone: (219) 365-6333
Fax: (219) 365-8291
Type: Location
The Edge Lofts and Tower, 210, South Desplaines Street, Greektown, Near West Side, University Village/Little Italy, Chicago, Cook County, Illinois, 60661, United States
CHICAGO, IL 606615500
Phone: (312) 654-2700
Fax: (312) 654-9930
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121019000164 | I | Nephrology | IN | TBD |
| I20191218000565 | I | Nephrology | TN | TBD |
| I20210524002077 | I | Nephrology | OK | TBD |
| I20240906002379 | I | Nephrology | NC | TBD |
| I20251105000235 | I | Nephrology | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 314 | 102 | $0 |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 65 | 31 | $0 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 65 | 59 | $0 |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 32 | 31 | $0 |
Insurance plans in this area (ZIP 46311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | OH | |
| Nephrology, Internal Medicine | NV | |
| N E P H R O L O G Y | TN | |
| N E P H R O L O G Y | NV |
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