SUMATHI RAJA CHANDA M.D.
NPI 1073748596
Hospitalist in Melbourne, FL

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771(321) 434-1775 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2020, Oct 31, 2018, Oct 25, 2018 and 4 more (7 updates tracked since 2017).

About Sumathi Raja Chanda M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMATHI RAJA CHANDA M.D. (NPI 1073748596) is an individual hospitalist provider in Melbourne, Florida, licensed in Florida (ME113198) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Rutgers New Jersey Medical School (2006).

NPPES Registry Identity

NPI1073748596
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSUMATHI RAJA CHANDACredential: M.D.
Location Address1350 HICKORY STMelbourne, FL 32901
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306
Fax(321) 434-1775
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2006
Enumeration DateMay 28, 2009
Last NPPES UpdateMarch 25, 20247 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
NPI 1073748596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME113198
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME113198 (FL)
1350 HICKORY ST, Melbourne, FL 32901

Other Names 1

Former Name (1)Sumathi Raja Md

Other Identifiers 3

Medicaid019432700FL
OtherHK821YFL · Fl Medicare
OtherP01760214FL · Fl Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sumathi Raja Chanda M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901045111
PECOS Enrollment IDI20130619000659
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
397 services191 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
271 services162 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$13.71 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$66.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Dietitian, Registered
1350 HICKORY ST
MELBOURNE, FL 32901
Dietitian, Registered
1350 HICKORY ST
MELBOURNE, FL 32901
Nurse Practitioner
1350 HICKORY ST, HOLMES REGINAL MEDICAL CENTER INTERVENTIONAL CARDIOLOGY
MELBOURNE, FL 32901
Nuclear Medicine
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist (Pharmacotherapy)
1350 HICKORY ST
MELBOURNE, FL 32901
Physical Therapist
1350 HICKORY ST
MELBOURNE, FL 32901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073748596, enumerated as an "individual" on May 28, 2009.

The provider is located at 1350 HICKORY ST MELBOURNE, FL 32901 and the phone number is (321) 434-1771.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.

Sumathi Chanda is affiliated with: HOLMES REGIONAL MEDICAL CENTER.