Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sailaja Tummala, MD

Individual provider Family Medicine Physician · NPI 1174690630

Dr. Sailaja Tummala, MD is a Family Practice in Lebanon, Missouri. Qualified in 1994, 32 years ago. Practices with Lake Regional Health System, a 131-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
32
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

755 Cowan Dr
Lebanon, MO 65536
Phone: (417) 532-2805
Fax: (417) 532-2865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1622 W Caleb Ct, Springfield, MO 65810-1525 — (417) 449-4154

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2011022971 (MO)

Record details

NPI number1174690630
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESMay 12, 2023
Certification dateMay 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Lake Regional Health System — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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