SUMITA AGGARWAL MD
NPI 1225224405
Family Medicine in Lake Mary, FL

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746(407) 647-2346(407) 647-5431 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2023, Sep 26, 2016 (2 updates tracked since 2016).

About Sumita Aggarwal Md NPPES

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

SUMITA AGGARWAL MD (NPI 1225224405) is an individual family medicine provider in Lake Mary, Florida, licensed in Florida (ME126315) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225224405
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUMITA AGGARWALCredential: MD
Location Address525 TECHNOLOGY PARK STE 109Lake Mary, FL 32746-7107
Mailing Address525 Technology Park Ste 109Lake Mary, FL 32746-7107 · (407) 647-2346 · Fax (407) 647-5431
Fax(407) 647-5431
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 20, 2007
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
NPI 1225224405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME126315
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 TECHNOLOGY PARK STE 109, Lake Mary, FL 32746

Other Identifiers 2

Other3618391OH · Facility Ptan
Other1760659171OH · Facility Npi

Accepted 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

Sumita Aggarwal 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 ID3375724230
PECOS Enrollment IDI20161110000971
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 9

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
763 services113 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
422 services120 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
292 services82 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
202 services72 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
60 services49 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
53 services46 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 11

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier20 claims20 services$6.04 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$19.83 avg. paid by Medicare
Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims110 services$4.73 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims132 services$1.96 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$4.35 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier20 claims20 services$11.29 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.

Licensed Practical Nurse
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746
Internal Medicine
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746
Clinic/Center (Primary Care)
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746
Internal Medicine
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746
Counselor (Mental Health)
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746
Nurse Practitioner (Psychiatric/Mental Health)
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746
Counselor (Mental Health)
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746
Licensed Practical Nurse
525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746

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 Sumita Aggarwal's NPI number?

The NPI number for Sumita Aggarwal is 1225224405. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Sumita Aggarwal located?

Sumita Aggarwal practices at 525 Technology Park Ste 109, Lake Mary, FL 32746. The listed phone number is (407) 647-2346.

What is Sumita Aggarwal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sumita Aggarwal enrolled in Medicare?

Yes. Sumita Aggarwal 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 Sumita Aggarwal accept?

Health plans from Wellpoint list Sumita Aggarwal 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 Sumita Aggarwal affiliated with any hospitals?

According to CMS data, Sumita Aggarwal is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Sumita Aggarwal was last updated on August 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.