SUMANA DEVATA MD
NPI 1265609564
Internal Medicine - Medical Oncology in Milwaukee, WI

Active since May 15, 2008PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-4600(414) 805-4602 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2021, May 18, 2020 (2 updates tracked since 2020).

About Sumana Devata Md NPPES

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

SUMANA DEVATA MD (NPI 1265609564) is an individual medical oncology provider in Milwaukee, Wisconsin, licensed in Wisconsin (54086) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1265609564
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameSUMANA DEVATACredential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-4600 · Fax (414) 805-4602
Fax(414) 805-4602
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2008
Enumeration DateMay 15, 2008
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
NPI 1265609564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in WI · 54086
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License 54086 (WI)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 54086 (WI)
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Location 1

Location 11500 E Medical Center Drive, B1 floor Cancer Recp BAnn Arbor, MI 48109-5911 · Phone (734) 647-8901

Other Identifiers 1

Medicaid1265609564WI

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

Sumana Devata 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 ID5092985341
PECOS Enrollment IDI20110824000830
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 4

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.
38 services12 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.
30 services19 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.
28 services20 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.
17 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Sumana Devata's NPI number?

The NPI number for Sumana Devata is 1265609564. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Sumana Devata located?

Sumana Devata practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-4600.

What is Sumana Devata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Sumana Devata enrolled in Medicare?

Yes. Sumana Devata 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 Sumana Devata accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Sumana Devata 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 Sumana Devata affiliated with any hospitals?

According to CMS data, Sumana Devata is affiliated with Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Sumana Devata was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.