DR. PRASHANTH R SUNKUREDDI (M.D.) – Rheumatology Physician, NPI 1568445740
Rheumatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
503 RHEUMATOLOGY in TX
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Provider Addresses for DR. PRASHANTH R SUNKUREDDI (M.D.)
Saint John Drive, Nassau Bay, Harris County, Texas, 77058, United States
SUITE 280
HOUSTON, TX 770583631
Phone: (281) 333-9747
Fax: (281) 333-3188
Type: Mailing
3725 E LEAGUE CITY PKWY STE 200
LEAGUE CITY, TX 775737374
Phone: (281) 957-9127
Fax: (281) 957-9157
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 378 Open Payments records for all available years, with a total value of $12,527.
Total Amount is formed as General ($12,527) + Research ($0) + Ownership ($0) = $12,527.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($2,817).
Total Amount
$12,527
General + Research + Ownership
Payments
378
Total payment records
General Amount
$12,527
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $2,817 |
| ABBVIE INC. | $2,068 |
| Amgen Inc. | $1,321 |
| AstraZeneca Pharmaceuticals LP | $866 |
| Novartis Pharmaceuticals Corporation | $660 |
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: 2006-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20061220000228 | I | Rheumatology | TX | 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 |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 90,000 | 23 | $0 |
| J3262 | Injection, tocilizumab, 1 mg | 33,880 | 13 | $0 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 15,850 | 28 | $0 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 13,150 | 18 | $0 |
| J0897 | Injection, denosumab, 1 mg | 5,640 | 63 | $0 |
Insurance plans in this area (ZIP 77058)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | TX | 96415 | Infusion of chemotherapy into a vein | 350 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Rheumatology, Internal Medicine | TX | |
| Rheumatology, Internal Medicine | MO |
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