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SUMITRA S KHANDELWAL MD
NPI 1093971079
Ophthalmology in Houston, TX

Active since July 30, 2008PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1977 BUTLER BLVD, HOUSTON, TX 77030(404) 862-9626 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sumitra S Khandelwal Md NPPES

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

SUMITRA S KHANDELWAL MD (NPI 1093971079) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (P6988) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Texas Medical School At Houston (2008).

NPPES Registry Identity

NPI1093971079
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSUMITRA S KHANDELWALCredential: MD
Location Address1977 BUTLER BLVDHouston, TX 77030-4101
Mailing Address9801 Dupont Ave S, Suite 425Bloomington, MN 55431-3100 · (952) 888-5800
Phone(404) 862-9626
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2008
Enumeration DateJuly 30, 2008
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1093971079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · P6988
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1977 BUTLER BLVD, Houston, TX 77030
Open in Google Maps ↗

Other Names 1

Former Name (1)Sumtira Subramanyam

Other Identifiers 1

OtherP6988TX · Tx Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Sumitra S Khandelwal Md 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 ID5799932661
PECOS Enrollment IDI20130812000223
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 10

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

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
220 services141 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
59 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
52 services31 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
52 services50 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
48 services30 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

SANJAY J. MATHEW M.D.
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD, SUITE E4.207
HOUSTON, TX 77030
Harris County (713) 798-5877
DR. ANTHONY BRISSETT M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
1977 BUTLER BLVD, E6.100
HOUSTON, TX 77030
Harris County (713) 798-3223
ALAN SHEINFIL
Psychologist (Clinical)
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (201) 362-2993
ANDREA G STOLAR MD
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD, SUITE E4.400
HOUSTON, TX 77030
Harris County (713) 798-4997
MELODY FREGIA LPC
Counselor (Professional)
1977 BUTLER BLVD, STE E5.100
HOUSTON, TX 77030
Harris County (713) 798-6336
DR. MASIH AHMED MD
Ophthalmology
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (713) 798-6100
DR. AMANDA JF TAMMAN PHD
Psychologist (Clinical)
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (201) 414-3720
HIRA HANIF MD
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (713) 798-4870

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 Sumitra Khandelwal's NPI number?

The NPI number for Sumitra Khandelwal is 1093971079. It was assigned to this individual provider in the NPPES registry on July 30, 2008. The provider is also known as Sumtira Subramanyam.

Where is Sumitra Khandelwal located?

Sumitra Khandelwal practices at 1977 Butler Blvd, Houston, TX 77030. The listed phone number is (404) 862-9626.

What is Sumitra Khandelwal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sumitra Khandelwal enrolled in Medicare?

Yes. Sumitra Khandelwal 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.

What insurance does Sumitra Khandelwal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Sumitra Khandelwal 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.

Is Sumitra Khandelwal affiliated with any hospitals?

According to CMS data, Sumitra Khandelwal is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Sumitra Khandelwal was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.