DR. SUMON NANDI MD
NPI 1316114242
Orthopaedic Surgery in Lima, OH
About Dr. Sumon Nandi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUMON NANDI MD (NPI 1316114242) is an individual orthopaedic surgery provider in Lima, Ohio, licensed in Ohio (87775) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Sumon Nandi 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.
Medicare Billing Reassignments
5Medicare enrollment records show Sumon Nandi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgeport, WV 26330
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: West Virginia University Medical Corporation
- 2,471 clinicians in this Medicare group
Martinsburg, WV 25401
- Reassigned Medicare billing, West Virginia enrollment
- 231 clinicians in this Medicare group
Ranson, WV 25438
- Reassigned Medicare billing, West Virginia enrollment
- 110 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Orthopaedic Trauma Associates, P.A.
- 56 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Medicare enrollment name: University Of Maryland Orthopaedic Associates PA
- 45 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Berkeley Medical Center
Acute Care Hospitals · Martinsburg, WVJefferson Medical Center
Critical Access Hospitals · Ranson, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
LIMA, OH 45804
LIMA, OH 45804
LIMA, OH 45804
LIMA, OH 45804
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 Sumon Nandi's NPI number?
The NPI number for Sumon Nandi is 1316114242. It was assigned to this individual provider in the NPPES registry on May 9, 2008.
Where is Sumon Nandi located?
Sumon Nandi practices at 801 Medical Dr Suite A, Lima, OH 45804. The listed phone number is (419) 222-6622.
What is Sumon Nandi's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Sumon Nandi enrolled in Medicare?
Yes. Sumon Nandi 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 Sumon Nandi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumon Nandi reassigns Medicare benefits to 5 organizations: Wvu Medical Corporation (Bridgeport, WV), City Hospital Inc (Martinsburg, WV), Jefferson Memorial Hospital (Ranson, WV), University Of Maryland Orthopaedic Trauma Associates, PA (Baltimore, MD) and University Of Maryland Orthopaedic Associates P A (Baltimore, MD). 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 Sumon Nandi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumon Nandi accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Sumon Nandi 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 Sumon Nandi affiliated with any hospitals?
According to CMS data, Sumon Nandi is affiliated with Berkeley Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Sumon Nandi was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Sumon Nandi, MD · NPI 1316114242
Orthopaedic Surgery physician in Lima, Ohio. Individual provider, active in the CMS NPPES registry since May 9, 2008.
## Identity
- **NPI:** 1316114242 (Entity type: Individual)
- **Enumerated:** May 9, 2008
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 87775 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 MEDICAL DR, SUITE A, Lima, OH 45804-4031
- **Phone:** (419) 222-6622 · **Fax:** (419) 224-0015
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Wvu Medical Corporation (NPI 1245625581, Bridgeport, WV); City Hospital Inc (NPI 1942503164, Martinsburg, WV); Jefferson Memorial Hospital (NPI 1891722377, Ranson, WV); University Of Maryland Orthopaedic Trauma Associates, PA (NPI 1497708051, Baltimore, MD); University Of Maryland Orthopaedic Associates P A (NPI 1740235274, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 24, 2015
- **Other identifiers:** Medicaid 1316114242 (MA); Medicare PIN 001766302 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316114242) · Data from the CMS NPPES public registry.