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DR. SUNITHA BHOGAVILLI M.D.
NPI 1114953452
Internal Medicine in Silver Spring, MD

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
9801 GEORGIA AVE, SUITE 117, SILVER SPRING, MD 20902(301) 592-0461(301) 260-2838 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sunitha Bhogavilli M.d. NPPES

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

DR. SUNITHA BHOGAVILLI M.D. (NPI 1114953452) is an individual internal medicine provider in Silver Spring, Maryland, licensed in Maryland (D0054566) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1999).

NPPES Registry Identity

NPI1114953452
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUNITHA BHOGAVILLICredential: M.D.
Location Address9801 GEORGIA AVE, SUITE 117Silver Spring, MD 20902-5276
Mailing AddressPo Box 157Ashton, MD 20861-0157 · (301) 570-9700 · Fax (301) 260-2838
Phone(301) 592-0461
Fax(301) 260-2838
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1999
Enumeration DateJune 25, 2006
Last NPPES UpdateNovember 1, 2007
✔ NPI 1114953452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0054566
Definition
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.
9801 GEORGIA AVE, Silver Spring, MD 20902
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Other Identifiers 5

Other19DMSMD · Blue Cross Blue Shield
Other52550001DC · Blue Cross
Medicaid634000800MD
Medicare PING02185S01
Medicare UPING90776MD

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

Dr. Sunitha Bhogavilli 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 ID3072587088
PECOS Enrollment IDI20040825000336
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20902 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
6%70 patients1/55-star benchmark: 96%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
21%73 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%103 patients1/55-star benchmark: 99%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
13%31 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%595 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
52%124 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
7%115 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
14%73 patients1/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%256 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%115 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%115 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier14 claims14 services$8.67 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, without mattress E0251
DME-Hospital Beds · category DB000N
1 supplier25 claims25 services$42.50 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers93 claims93 services$42.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress E0294
DME-Hospital Beds · category DB000N
1 supplier23 claims23 services$45.02 avg. paid by Medicare
Heel loop/holder, any type, with or without ankle strap, each E0951
DME-Wheelchairs · category DD000N
2 suppliers17 claims34 services$10.96 avg. paid by Medicare
Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
4 suppliers18 claims36 services$19.33 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.

ANURADHA A ARUN M.D.
Internal Medicine
9801 GEORGIA AVE, SUITE 224
SILVER SPRING, MD 20902
Montgomery County (301) 593-9800
SUNITHA BHOGAVILLI, MD PC
Internal Medicine
9801 GEORGIA AVE, SUITE 117
SILVER SPRING, MD 20902
Montgomery County (301) 570-9700
ANA MARIA ZEGARRA
Specialist/Technologist (Speech-Language Assistant)
9801 GEORGIA AVE, SUITE 229
SILVER SPRING, MD 20902
Montgomery County (301) 754-2200
JOHN JOSEPH WHITTLES PT
Physical Therapist
9801 GEORGIA AVE, STE 333
SILVER SPRING, MD 20902
Montgomery County (301) 754-0154
DR. SHIRLEY E WHITEMAN PH.D.,
Nutritionist
9801 GEORGIA AVE, SUITE 341
SILVER SPRING, MD 20902
Montgomery County (301) 592-8333
DR. GARY D. GOLDMAN D.C.
Chiropractor
9801 GEORGIA AVE, SUITE 2-26
SILVER SPRING, MD 20902
Montgomery County (301) 593-1199
RAQUEL AVILA-NIEVES
Speech-Language Pathologist
9801 GEORGIA AVE, SUITE 229
SILVER SPRING, MARYLAND 20902
Montgomery County (787) 376-7819
SHYAMSUNDAR RAJAN MD
Internal Medicine (Geriatric Medicine)
9801 GEORGIA AVE, SUITE 117
SILVER SPRING, MD 20902
Montgomery County (301) 754-1555

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 Sunitha Bhogavilli's NPI number?

The NPI number for Sunitha Bhogavilli is 1114953452. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Sunitha Bhogavilli located?

Sunitha Bhogavilli practices at 9801 Georgia Ave Suite 117, Silver Spring, MD 20902. The listed phone number is (301) 592-0461.

What is Sunitha Bhogavilli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunitha Bhogavilli enrolled in Medicare?

Yes. Sunitha Bhogavilli 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.

When was this NPI record last updated?

The NPPES record for Sunitha Bhogavilli was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.