SUMANT ARORA M.D.
NPI 1134535560
Internal Medicine - Gastroenterology in Spokane, WA

Q: What is Sumant Arora's NPI number?

The NPI number for Sumant Arora is 1134535560. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Q: What is Sumant Arora's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sumant Arora was last updated on April 5, 2021. 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.

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment

212 E CENTRAL AVE STE 245, SPOKANE, WA 99208(509) 489-2600(509) 227-7070 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2021, Mar 30, 2017 (2 updates tracked since 2017).

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About Sumant Arora M.d. NPPES

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

SUMANT ARORA M.D. (NPI 1134535560) is an individual gastroenterology provider in Spokane, Washington, licensed in Washington (MD61002980) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134535560

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSUMANT ARORACredential: M.D.

Location Address212 E CENTRAL AVE STE 245Spokane, WA 99208-6289

Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (509) 489-2600 · Fax (509) 227-7070

Phone(509) 489-2600

Fax(509) 227-7070

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 7, 2014

Last NPPES UpdateApril 5, 20212 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1134535560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WA · MD61002980

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R-10771 (IA)

212 E CENTRAL AVE STE 245, Spokane, WA 99208

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Secondary Practice Locations 2

Location 1200 Hawkins Dr, Department of Internal MedicineIowa City, IA 52242-1009 · Phone (319) 467-2000 · Fax (319) 384-8955

Location 216528 E Desmet Ct Ste A2200Spokane Valley, WA 99216-3522 · Phone (509) 944-8920 · Fax (509) 227-7070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Sumant Arora 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 ID3779897517

PECOS Enrollment IDI20200424001096

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 Reassignment

Medicare enrollment records show Sumant Arora reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services Washington

4.3 mi

Pulmonary Disease

101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR
Spokane, WA 99204

Reassigned Medicare billing, Washington enrollment
862 clinicians in this Medicare group

NPI 1194099390 (509) 474-2072

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

Areas of Expertise CMS Part B claims 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

97 services97 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

50 services49 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

43 services41 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.

39 services32 patients

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.

32 services24 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.

20 services20 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

19 services19 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

16 services16 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

15 services15 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

11 services11 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500054

Location101 West 8th AvenueSpokane, WA 99204 · Spokane County

Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500077

Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County

Emergency services Birthing friendly

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501326

Location982 East ColumbiaColville, WA 99114 · Stevens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 10

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

MS. KATHERINE NALL BIRRER PA-S

Physician Assistant