SUMIT BHANDARI MD
NPI 1336452572
Hospitalist in Bismarck, ND

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
300 N 7TH ST, SANFORD MEDICAL CENTRE, BISMARCK, ND 58501(701) 323-6000(701) 323-8122 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Nov 19, 2015 (2 updates tracked since 2015).

About Sumit Bhandari Md NPPES

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

SUMIT BHANDARI MD (NPI 1336452572) is an individual hospitalist provider in Bismarck, North Dakota, licensed in North Dakota (11585) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336452572
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSUMIT BHANDARICredential: MD
Location Address300 N 7TH ST, SANFORD MEDICAL CENTREBismarck, ND 58501
Mailing Address300 N 7th St, Sanford Medical CentreBismarck, ND 58501-4439 · (701) 323-6000 · Fax (701) 323-8122
Fax(701) 323-8122
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 16, 2010
Last NPPES UpdateApril 20, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1336452572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in ND · 11585
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 11585 (ND)
300 N 7TH ST, Bismarck, ND 58501

Secondary Practice Locations 2

Location 11 Burdick Expy WMinot, ND 58701-4406 · Phone (701) 857-5000
Location 22305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 857-5000

Other Identifiers 1

Medicaid15357ND

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 Bhandari 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 ID2264627553
PECOS Enrollment IDI20101111001581, I20251030000936
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Sumit Bhandari reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
565 S 7TH ST
Bismarck, ND 58504
  • Reassigned Medicare billing, North Dakota enrollment
  • 779 clinicians in this Medicare group
Rural Health
141 MAIN STREET
Ellendale, ND 58436
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
Rural Health
110 5TH AVE
Ipswich, SD 57451
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1013921733 (South Dakota)
  • 422 clinicians in this Medicare group
Clinic/Center
425 COLLEGE DR S STE 14
Devils Lake, ND 58301
  • Reassigned Medicare billing, North Dakota enrollment
  • 102 clinicians in this Medicare group
Multi-Specialty
100 MAC LN
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
Emergency Medicine
801 E SIOUX AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 197 clinicians in this Medicare group
End-Stage Renal Disease (ESRD) Treatment
23 NORTH ST STE 5
Presque Isle, ME 04769
  • Reassigned Medicare billing, Maine enrollment
  • 168 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.

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.
430 services416 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.
173 services72 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.
49 services48 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.
32 services32 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Jacobson Memorial Hospital Care Center

Critical Access Hospitals · Elgin, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351314
Location601 East St NElgin, ND 58533 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
3 suppliers59 claims59 services$106.69 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers42 claims42 services$36.09 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 20

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

Occupational Therapist
300 N 7TH ST
BISMARCK, ND 58501
Emergency Medicine
300 N 7TH ST
BISMARCK, ND 58501
Nurse Anesthetist, Certified Registered
300 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner
300 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Gerontology)
300 N 7TH ST
BISMARCK, ND 58501
Pharmacist
300 N 7TH ST
BISMARCK, ND 58501
Physical Therapist
300 N 7TH ST
BISMARCK, ND 58501
Hospitalist
300 N 7TH ST
BISMARCK, ND 58501

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 Bhandari's NPI number?

The NPI number for Sumit Bhandari is 1336452572. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Sumit Bhandari located?

Sumit Bhandari practices at 300 N 7th St Sanford Medical Centre, Bismarck, ND 58501. The listed phone number is (701) 323-6000.

What is Sumit Bhandari's specialty?

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

Is Sumit Bhandari enrolled in Medicare?

Yes. Sumit Bhandari 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 Bhandari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumit Bhandari reassigns Medicare benefits to 7 organizations: Sanford Bismarck (Bismarck, ND), Sanford Medical Center Fargo (Ellendale, ND), Sanford Health Network (Ipswich, SD), Mercy Hospital Of Devils Lake (Devils Lake, ND), Avera Mckennan (Pierre, SD) and 2 more organizations, listed in the Medicare section above. 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 Bhandari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumit Bhandari accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Oscar Insurance Company, Taro Health and Wellmark of South Dakota, Inc. list Sumit Bhandari 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 Sumit Bhandari affiliated with any hospitals?

According to CMS data, Sumit Bhandari is affiliated with Northern Light A R Gould Hospital, Northern Light Eastern Maine Medical Center, Sanford Medical Center Fargo, Sanford Medical Center Bismarck and Jacobson Memorial Hospital Care Center.

When was this NPI record last updated?

The NPPES record for Sumit Bhandari was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.