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SUFYAN SIAL M.D.
NPI 1316201833
Hospitalist in Indianapolis, IN

Active since June 28, 2012PECOS EnrolledAccepts Medicare Assignment
91.23/100
CMS Quality Rating
1001 W 10TH ST # M200, WISHARD HOSPITAL, INDIANAPOLIS, IN 46202(217) 721-2040 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2022, Dec 23, 2021 (2 updates tracked since 2021).

About Sufyan Sial M.d. NPPES

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

SUFYAN SIAL M.D. (NPI 1316201833) is an individual hospitalist provider in Indianapolis, Indiana, licensed in Indiana (01074900A) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1316201833
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSUFYAN SIALCredential: M.D.
Location Address1001 W 10TH ST # M200, WISHARD HOSPITALIndianapolis, IN 46202-2859
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Phone(217) 721-2040
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 28, 2012
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1316201833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IN · 01074900A
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.
1001 W 10TH ST # M200, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-7666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sufyan Sial 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 ID8022258037
PECOS Enrollment IDI20150608001043
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 6

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 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.
56 services29 patients
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.
48 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services19 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.
42 services41 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.
20 services20 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.99
Promoting Interoperability99
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 11

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

VINDHYA LAKSHMI VEERULA MD
Dermatology
1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202
Marion County (317) 656-4260
INDIANA UNIVERSITY SCHOOL OF MEDICINE
General Acute Care Hospital
1001 W 10TH ST # M200, INDIANA UNIVERSITY DEPARTMENT OF DERMATOLOGY
INDIANAPOLIS, IN 46202
Marion County (317) 312-7030
DR. JAMES ROBERT BAILEY M.D.
Internal Medicine
1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202
Marion County (606) 831-4756
INDIANA UNIVERITY
General Acute Care Hospital
1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202
Marion County (317) 656-4260
JUDY WAWIRA GICHOYA MD
Radiology (Vascular & Interventional Radiology)
1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202
Marion County (317) 656-4260
INDIANA UNIVERSITY
General Acute Care Hospital
1001 W 10TH ST # M200, WISHARD HOSPITAL
INDIANAPOLIS, IN 46202
Marion County (317) 630-6857
UPASANA JARORI MD
Internal Medicine
1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202
Marion County (317) 656-4260
DR. GABRIEL M KRAUSE M.D.
Anesthesiology
1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202
Marion County (317) 656-4260

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 Sufyan Sial's NPI number?

The NPI number for Sufyan Sial is 1316201833. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Sufyan Sial located?

Sufyan Sial practices at 1001 W 10th St # M200 Wishard Hospital, Indianapolis, IN 46202. The listed phone number is (217) 721-2040.

What is Sufyan Sial's specialty?

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

Is Sufyan Sial enrolled in Medicare?

Yes. Sufyan Sial 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 Sufyan Sial accept?

Health plans from CareSource list Sufyan Sial 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 Sufyan Sial affiliated with any hospitals?

According to CMS data, Sufyan Sial is affiliated with Eskenazi Health.

When was this NPI record last updated?

The NPPES record for Sufyan Sial was last updated on September 30, 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.