SUMEESH DHAWAN M.D.
NPI 1255428827
Internal Medicine in Arlington, TX

Q: What is Sumeesh Dhawan's NPI number?

The NPI number for Sumeesh Dhawan is 1255428827. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Sumeesh Dhawan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sumeesh Dhawan was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 06, 2006PECOS EnrolledAccepts Medicare Assignment

86.99/100

CMS Quality Rating

8200 MATLOCK RD STE 100, ARLINGTON, TX 76002(817) 473-7197(817) 473-7198 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sumeesh Dhawan M.d. NPPES

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

SUMEESH DHAWAN M.D. (NPI 1255428827) is an individual internal medicine provider in Arlington, Texas, licensed in Texas (M1074) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Arlington, and maintains a secondary practice location in Midlothian.

NPPES Registry Identity

NPI1255428827

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSUMEESH DHAWANCredential: M.D.

Location Address8200 MATLOCK RD STE 100Arlington, TX 76002-4805

Mailing Address8200 Matlock Rd Ste 100Arlington, TX 76002-4805 · (817) 473-7197 · Fax (817) 473-7198

Phone(817) 473-7197

Fax(817) 473-7198

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 6, 2006

Last NPPES UpdateOctober 2, 2025

NPPES CertifiedOctober 2, 2025

✔ NPI 1255428827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · M1074

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.

8200 MATLOCK RD STE 100, Arlington, TX 76002

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Secondary Practice Location 1

Location 1800 Highlander Ave Ste 200Midlothian, TX 76065-3515 · Phone (817) 473-7200 · Fax (817) 473-7198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sumeesh Dhawan 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 ID3173568656

PECOS Enrollment IDI20070219000781

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 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.

2,096 services485 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.

271 services245 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.

237 services98 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

172 services163 patients

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.

59 services41 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

50 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Arlington

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450675

Location3301 Matlock RoadArlington, TX 76015 · Tarrant County

Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670023

Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County

Emergency services Birthing friendly

Methodist Midlothian Medical Center

Acute Care Hospitals · Midlothian, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670300

Location1201 E Highway 287Midlothian, TX 76065 · Ellis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76002 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

86.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

42.13

Referred Medical Equipment & Supplies CMS DME claims 23

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers20 claims75 services$6.78 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier18 claims18 services$23.05 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

1 supplier17 claims204 services$2.01 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier18 claims18 services$4.49 avg. paid by Medicare

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier14 claims1,400 services$1.92 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers24 claims30 services$7.72 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims276 services$29.84 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers25 claims993 services$7.09 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers11 claims60 services$17.02 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers15 claims15 services$49.87 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers14 claims14 services$11.02 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims69 services$1.94 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims390 services$2.62 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier15 claims8,152 services$0.27 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims73 services$321.50 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims73 services$8.05 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims73 services$25.15 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

4 suppliers18 claims18 services$13.76 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$906.98 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier16 claims16 services$30.90 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

6 suppliers31 claims31 services$62.74 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.98 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

6 suppliers59 claims61 services$15.78 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 9

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

DR. KHUONG DINH PHAN D.O.

Internal Medicine