SUNIL KUMAR REDDY KARTHAM MD
NPI 1225228836
Hospitalist in Mooresville, NC

Q: What is Sunil Kartham's NPI number?

The NPI number for Sunil Kartham is 1225228836. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Q: What is Sunil Kartham's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Kartham was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 30, 2007PECOS EnrolledAccepts Medicare Assignment

171 FAIRVIEW RD, MOORESVILLE, NC 28117(704) 660-4000 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, Jul 30, 2026, May 8, 2024 and 2 more (5 updates tracked since 2019).

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About Sunil Kumar Reddy Kartham Md NPPES

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

SUNIL KUMAR REDDY KARTHAM MD (NPI 1225228836) is an individual hospitalist provider in Mooresville, North Carolina, licensed in North Carolina (2020-00190) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1225228836

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameSUNIL KUMAR REDDY KARTHAMCredential: MD

Location Address171 FAIRVIEW RDMooresville, NC 28117-9500

Mailing Address171 Fairview RdMooresville, NC 28117-9500 · (704) 660-4000

Phone(704) 660-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 30, 2007

Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1225228836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NC · 2020-00190

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2020-00190 (NC), 10662 (ND)

171 FAIRVIEW RD, Mooresville, NC 28117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford 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

Sunil Kumar Reddy Kartham 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 ID345331864

PECOS Enrollment IDI20240828003030

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 Reassignments

Medicare enrollment records show Sunil Kartham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.

0.1 mi

Family Medicine

131 MEDICAL PARK RD STE 302
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1760288633 (704) 660-4750

Optimed Hospitalists

3.1 mi

Internal Medicine

210 DELBURG ST
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
54 clinicians in this Medicare group

NPI 1477942613 (980) 259-2498

Altru Health System

1,191 mi

Clinic/Center

1300 S COLUMBIA RD
Grand Forks, ND 58201

Reassigned Medicare billing, North Dakota enrollment
701 clinicians in this Medicare group

NPI 1043309552 (701) 780-5000

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 7

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 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.

647 services219 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.

262 services121 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

186 services179 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

94 services92 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

40 services15 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.

39 services39 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340039

Location557 Brookdale DrStatesville, NC 28677 · Iredell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers38 claims38 services$20.89 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier26 claims26 services$7.05 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers50 claims50 services$108.61 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier22 claims22 services$36.58 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.

INPATIENT CARE

Hospitalist