DR. SUMEET SANJEEV PAWAR M.D.
NPI 1124433727
Internal Medicine - Cardiovascular Disease in Mystic, CT

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
100 PERKINS FARM DR STE 301, MYSTIC, CT 06355(860) 572-5400 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 15, 2021, Nov 6, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Sumeet Sanjeev Pawar M.d. NPPES

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

DR. SUMEET SANJEEV PAWAR M.D. (NPI 1124433727) is an individual cardiovascular disease provider in Mystic, Connecticut, licensed in Connecticut (65594) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1124433727
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUMEET SANJEEV PAWARCredential: M.D.
Location Address100 PERKINS FARM DR STE 301Mystic, CT 06355-4041
Mailing Address100 Perkins Farm Dr Ste 301Mystic, CT 06355-4041 · (860) 572-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 23, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
NPI 1124433727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in CT · 65594 Licensed in RI · MD17081
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
100 PERKINS FARM DR STE 301, Mystic, CT 06355

Secondary Practice Location 1

Location 1789 Howard AveNew Haven, CT 06519-1304 · Phone (203) 785-6484

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. Sumeet Sanjeev Pawar 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 ID2769601871
PECOS Enrollment IDI20201120001906, I20201123000982
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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
418 services323 patients
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.
375 services266 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
133 services131 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
79 services59 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.
74 services49 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
68 services64 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
100 PERKINS FARM DR STE 301
MYSTIC, CT 06355
Internal Medicine (Cardiovascular Disease)
100 PERKINS FARM DR STE 301
MYSTIC, CT 06355
Nurse Practitioner
100 PERKINS FARM DR STE 301
MYSTIC, CT 06355

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 Sumeet Pawar's NPI number?

The NPI number for Sumeet Pawar is 1124433727. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Sumeet Pawar located?

Sumeet Pawar practices at 100 Perkins Farm Dr Ste 301, Mystic, CT 06355. The listed phone number is (860) 572-5400.

What is Sumeet Pawar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sumeet Pawar enrolled in Medicare?

Yes. Sumeet Pawar 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.

Is Sumeet Pawar affiliated with any hospitals?

According to CMS data, Sumeet Pawar is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Sumeet Pawar was last updated on July 21, 2022. 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.