Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962447805 Individual Practitioner Female Practitioner

Dr. Sumana Ketha , MD

Internal Medicine • Irving, TX

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sumana Ketha, MD is a certified Internal Medicine practicing in Irving, TX. With approximately 28 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1998, Dr. Ketha delivers high-quality medical care to the local community at 2925 SKYWAY CIR N.

Dr. Ketha maintains professional affiliations with Sumana Ketha Md Pa, Dfw Medical Home Pllc, Dfw Primary Care Pllc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services for two or more chronic conditions, additional, chronic care management services, first, complex chronic care management services for two or more chronic conditions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2925 Skyway Cir N

Irving, TX 750383510

Telephone 9726395838
Fax 9727918211
Associated Practice Facility / Clinic
🏢 Sumana Ketha, Md Pa Facility NPI 1356565865

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

1998

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Irving, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +3.3 yrs vs City Avg
City Avg: 24.7 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
102 Specialists

Practicing in Irving, TX (9538 Statewide)

Telehealth Adoption Rate
25.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
44.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ketha (28 Years) 28 Yrs
Irving Specialty Average (24.7 Years) 24.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
2,926 437 $82.60 $46.85
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
1,857 504 $113.51 $61.05
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
1,224 89 $117.00 $71.18
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
749 279 $298.99 $180.77
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
612 89 $217.00 $132.24
G0181 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
595 154 $175.00 $102.63
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
549 42 $64.00 $38.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
526 127 $174.43 $104.95
G0179 Physician 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 to affirm the initial imp
312 154 $69.00 $41.21
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
276 42 $79.00 $48.21
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
264 41 $81.00 $46.57
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
241 152 $212.00 $124.17
99497 Advance care planning, first 30 minutes
207 206 $141.00 $79.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
188 188 $220.00 $126.80
99497 Advance care planning, first 30 minutes
61 61 $141.00 $72.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
58 58 $220.00 $127.20
99306 Initial nursing facility visit, typically 45 minutes per day
53 53 $296.40 $175.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
50 17 $215.00 $120.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
43 27 $128.63 $72.54
99496 Transitional care management services for problem of high complexity
43 38 $453.33 $184.38
93922 Ultrasound study of arm and leg arteries
38 38 $144.89 $78.89
95923 Testing of autonomic (sympathetic) nervous system function
38 38 $249.39 $117.24
95921 Testing of autonomic nervous system function and heart rate response to deep breathing
38 38 $156.84 $84.47
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
36 36 $289.83 $150.27
G0180 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
33 30 $89.00 $52.27
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
26 26 $359.00 $197.16
99213 Established patient office or other outpatient visit, typically 15 minutes
26 23 $157.04 $87.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
25 15 $80.08 $39.31
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
13 13 $32.00 $19.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
11 11 $26.42 $16.15

Medical Specialties & State Licenses

CMS Verified: 2023-05-10
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX K7311

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
038961105 (TX)

Hospital & Practice Group Affiliations

Daiya Healthcare Pllc

5515 Glen Lakes Dr, Dallas, TX 752314309

Phone: 8018911038

Sumana Ketha Md Pa

9525 Greenville Ave, Dallas, TX 752434116

Phone: 2143552600

Dfw Primary Care Pllc

2925 Skyway Circle N, Irving, TX 750383510

Phone: 9722473060

Dfw Medical Home Pllc

2925 Skyway Circle N, Irving, TX 750383510

Phone: 9726757313

Dfw Medical Home Pllc

2925 Skyway Cir N, Irving, TX 750383510

Dfw Primary Care Pllc

2925 Skyway Cir N, Irving, TX 750383510

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Rebecca Haggen , FNP-C

Nurse Practitioner - Primary Care

NPI 1164932778

Family Nurse Practitioner (Certified)

Gabriel Eleda

Nurse Practitioner - Psychiatric/Mental Health

NPI 1730571480

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2010

Registered at 2925 SKYWAY CIR N, IRVING, TX 750383510 (Tel: 9722473060)

📍
Updated Business Mailing Address November 15, 2010

Registered at 2925 SKYWAY CIR N, IRVING, TX 750383510 (Tel: 9729292270)

👤
Provider Name / Credentials Updated November 15, 2010

Recorded as SUMANA KETHA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2010

Internal Medicine (License #K7311 in TX)

🟢
Initial NPI Registration & Enumeration June 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962447805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2006
Last Update: May 10, 2023
Sole Proprietor: Yes

Mailing Address

2925 Skyway Cir N

Irving, TX 750383510

Phone: 9726395838

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.