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DR. SUKUMAR MATHAN M.D.
NPI 1386798452
Internal Medicine in Haines City, FL

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
35600 US HWY 27 NORTH, HAINES CITY, FL 33844(863) 866-9820(863) 812-4455 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2020, Mar 11, 2020 (2 updates tracked since 2020).

About Dr. Sukumar Mathan M.d. NPPES

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

DR. SUKUMAR MATHAN M.D. (NPI 1386798452) is an individual internal medicine provider in Haines City, Florida, licensed in Florida (ME80845) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Lake Wales, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386798452
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUKUMAR MATHANCredential: M.D.
Location Address35600 US HWY 27 NORTHHaines City, FL 33844-3731
Mailing Address35600 Hwy 27Haines City, FL 33844-3731 · (863) 866-9820 · Fax (863) 812-4455
Phone(863) 866-9820
Fax(863) 812-4455
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 23, 2007
Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1386798452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME80845
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.
35600 US HWY 27 NORTH, Haines City, FL 33844
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Secondary Practice Locations 2

Location 16800 Cypress Gardens BlvdWinter Haven, FL 33884-3523 · Phone (863) 268-7380 · Fax (863) 808-1832
Location 21143 State Road 60 ELake Wales, FL 33853-4320 · Phone (863) 679-8815 · Fax (863) 679-8335

Other Identifiers 1

Medicaid259693800FL

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

Dr. Sukumar Mathan 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 ID1254399355
PECOS Enrollment IDI20041221000472
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33844 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims50 services$6.42 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sukumar Mathan's NPI number?

The NPI number for Sukumar Mathan is 1386798452. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Sukumar Mathan located?

Sukumar Mathan practices at 35600 Us Hwy 27 North, Haines City, FL 33844. The listed phone number is (863) 866-9820.

What is Sukumar Mathan's specialty?

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

Is Sukumar Mathan enrolled in Medicare?

Yes. Sukumar Mathan 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.

Is Sukumar Mathan affiliated with any hospitals?

According to CMS data, Sukumar Mathan is affiliated with Adventhealth Lake Wales.

When was this NPI record last updated?

The NPPES record for Sukumar Mathan was last updated on September 1, 2021. 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.