SUMIT CHHETRI MD
NPI 1386120293
Internal Medicine in Mobile, AL

Q: What is Sumit Chhetri's NPI number?

The NPI number for Sumit Chhetri is 1386120293. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Q: What is Sumit Chhetri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Chhetri was last updated on July 25, 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.

Active since July 13, 2018PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102, MOBILE, AL 36617(251) 470-5890(251) 471-7925 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, May 21, 2021, Jul 13, 2018 (3 updates tracked since 2018).

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About Sumit Chhetri Md NPPES

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

SUMIT CHHETRI MD (NPI 1386120293) is an individual internal medicine provider in Mobile, Alabama, licensed in Alabama (44452) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386120293

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUMIT CHHETRICredential: MD

Location Address2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102Mobile, AL 36617-2300

Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (251) 434-3626 · Fax (251) 445-2464

Phone(251) 470-5890

Fax(251) 471-7925

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 13, 2018

Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1386120293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in AL · 44452✔ Licensed in GA · 88431

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102, Mobile, AL 36617

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Secondary Practice Locations 3

Location 12451 University Hospital Dr # 102Mobile, AL 36617-2300 · Phone (251) 470-5890 · Fax (251) 471-7925

Location 23001 S. Hanover St, Department of MedicineBaltimore, MD 21225 · Phone (410) 350-8222 · Fax (410) 350-8220

Location 31120 15th StAugusta, GA 30912-0004 · Phone (706) 721-8623 · Fax (706) 721-1459

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc..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

Sumit Chhetri 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 ID8022417716

PECOS Enrollment IDI20220810000493

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 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.

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.

148 services51 patients

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.

132 services46 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.

49 services48 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.

38 services38 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.76

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 5

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

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