SUMIT PRUTHI
NPI 1306951579
Radiology - Pediatric Radiology in Nashville, TN
About Sumit Pruthi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMIT PRUTHI (NPI 1306951579) is an individual pediatric radiology provider in Nashville, Tennessee, licensed in Tennessee (MD46275) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Accepted 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
Sumit Pruthi 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.
Medicare Billing Reassignments
4Medicare enrollment records show Sumit Pruthi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37232
- Reassigned Medicare billing, Tennessee enrollment
- 4,711 clinicians in this Medicare group
Nashville, TN 37212
- Reassigned Medicare billing, Tennessee enrollment
- 195 clinicians in this Medicare group
Nashville, TN 37204
- Reassigned Medicare billing, Tennessee enrollment
- 218 clinicians in this Medicare group
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
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 Sumit Pruthi's NPI number?
The NPI number for Sumit Pruthi is 1306951579. It was assigned to this individual provider in the NPPES registry on August 20, 2006.
Where is Sumit Pruthi located?
Sumit Pruthi practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.
What is Sumit Pruthi's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.
Is Sumit Pruthi enrolled in Medicare?
Yes. Sumit Pruthi 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.
Which organizations bill Medicare for Sumit Pruthi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumit Pruthi reassigns Medicare benefits to 4 organizations: Vanderbilt University Medical Center (Nashville, TN), Vanderbilt Imaging Services, LLC (Nashville, TN), One Hundred Oaks Imaging, LLC (Nashville, TN) and Williamson Imaging, LLC (Franklin, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sumit Pruthi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumit Pruthi accept?
Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Sumit Pruthi 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.
When was this NPI record last updated?
The NPPES record for Sumit Pruthi was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sumit Pruthi · NPI 1306951579
Pediatric Radiology physician in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1306951579 (Entity type: Individual)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Radiology - Pediatric Radiology · taxonomy 2085P0229X
- **State license:** MD46275 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 THE VANDERBILT CLINIC, Nashville, TN 37232-0001
- **Phone:** (615) 322-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Vanderbilt University Medical Center (NPI 1104202761, Nashville, TN); Vanderbilt Imaging Services, LLC (NPI 1144241985, Nashville, TN); One Hundred Oaks Imaging, LLC (NPI 1245485549, Nashville, TN); Williamson Imaging, LLC (NPI 1578581294, Franklin, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** March 31, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1306951579) · Data from the CMS NPPES public registry.