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DR. UMAPATHY SUNDARAM M. D.
NPI 1093820060
Internal Medicine - Gastroenterology in Huntington, WV

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
1249 15TH ST STE 3000, HUNTINGTON, WV 25701(304) 691-1000(304) 691-1693 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Umapathy Sundaram M. D. NPPES

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

DR. UMAPATHY SUNDARAM M. D. (NPI 1093820060) is an individual gastroenterology provider in Huntington, West Virginia, licensed in West Virginia (21566) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (1983).

NPPES Registry Identity

NPI1093820060
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. UMAPATHY SUNDARAMCredential: M. D.
Location Address1249 15TH ST STE 3000Huntington, WV 25701-3663
Mailing Address1249 15th St Ste 3000Huntington, WV 25701-3663 · (304) 691-1000 · Fax (304) 691-1693
Phone(304) 691-1000
Fax(304) 691-1693
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1983
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1093820060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WV · 21566
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1249 15TH ST STE 3000, Huntington, WV 25701
Open in Google Maps ↗

Other Identifiers 1

Medicaid0088396000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Umapathy Sundaram 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 ID7810972130
PECOS Enrollment IDI20040621002001
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Umapathy Sundaram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cabell Huntington Hospital Inc
0.2 mi
Neurology
1340 HAL GREER BLVD, NEURO PHYSIOLOGY LAB
Huntington, WV 25701
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1043594971 (304) 526-6387
University Physicians & Surgeons, Inc
0.2 mi
Internal Medicine
1600 MEDICAL CENTER DRIVE
Huntington, WV 25701
  • Reassigned Medicare billing, West Virginia enrollment
  • 525 clinicians in this Medicare group
NPI 1730183286 (304) 691-8722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

MARIA GRACIA LUZURIAGA BASSANTE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
HENIN ALSAMARRAIE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
MIKAYLA BOONE RD
Dietitian, Registered
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
DR. RONALD J INNERFIELD M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
CYNTHIA LYNN ROBERTS APRN FNP-BC
Nurse Practitioner (Family)
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
DR. SANDEEP VERMA MD
Internal Medicine
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
LISA MARIE REYNOLDS APRN, BC
Nurse Practitioner (Family)
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
LEEJA JOSEPH MD
Internal Medicine (Infectious Disease)
1249 15TH ST STE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Umapathy Sundaram's NPI number?

The NPI number for Umapathy Sundaram is 1093820060. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Umapathy Sundaram located?

Umapathy Sundaram practices at 1249 15th St Ste 3000, Huntington, WV 25701. The listed phone number is (304) 691-1000.

What is Umapathy Sundaram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Umapathy Sundaram enrolled in Medicare?

Yes. Umapathy Sundaram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Umapathy Sundaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umapathy Sundaram reassigns Medicare benefits to 2 organizations: Cabell Huntington Hospital Inc (Huntington, WV) and University Physicians & Surgeons, Inc (Huntington, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Umapathy Sundaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umapathy Sundaram accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Umapathy Sundaram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Umapathy Sundaram was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.