1. Home
  2. Directory
  3. Indiana
  4. Danville
  5. Internal Medicine
  6. NPI Profile

SUMIT RISHI CHAWLA M.D.
NPI 1407122740
Internal Medicine - Pulmonary Disease in Danville, IN

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
112 HOSPITAL LN STE 303, DANVILLE, IN 46122(317) 718-4000(317) 718-4005 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 3, 2024, Jul 18, 2024, Nov 15, 2022 and 2 more (5 updates tracked since 2017).

About Sumit Rishi Chawla M.d. NPPES

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

SUMIT RISHI CHAWLA M.D. (NPI 1407122740) is an individual pulmonary disease provider in Danville, Indiana, licensed in Indiana (01081272A) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1407122740
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSUMIT RISHI CHAWLACredential: M.D.
Location Address112 HOSPITAL LN STE 303Danville, IN 46122-1998
Mailing Address112 Hospital Ln Ste 303Danville, IN 46122-1998 · (317) 718-4000 · Fax (317) 718-4005
Phone(317) 718-4000
Fax(317) 718-4005
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 30, 2012
Last NPPES UpdateSeptember 3, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1407122740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IN · 01081272A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD40553 (SC), 75429 (GA)
112 HOSPITAL LN STE 303, Danville, IN 46122
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Rishi Chawla 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 ID1951697531
PECOS Enrollment IDI20190703000946
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 9

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.
103 services62 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
100 services52 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
69 services68 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
68 services67 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
37 services36 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Hancock Regional Hospital

Acute Care Hospitals · Greenfield, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150037
Location801 N State StGreenfield, IN 46140 · Hancock County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46122 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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers12 claims24 services$1.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$13.38 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers27 claims27 services$784.40 avg. paid by Medicare
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
5 suppliers87 claims87 services$64.70 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers44 claims44 services$31.58 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier27 claims1,410 services$6.71 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 4

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

DR. LIRIM KRVESHI DO
Internal Medicine (Pulmonary Disease)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
SAMI ABUQAYYAS M.D.
Internal Medicine (Pulmonary Disease)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
MR. BEAU PRESCOTT SEMLER NP
Nurse Practitioner (Gerontology)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
EDWIN J JACKSON JR. DO
Internal Medicine (Critical Care Medicine)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000

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 Chawla's NPI number?

The NPI number for Sumit Chawla is 1407122740. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Sumit Chawla located?

Sumit Chawla practices at 112 Hospital Ln Ste 303, Danville, IN 46122. The listed phone number is (317) 718-4000.

What is Sumit Chawla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sumit Chawla enrolled in Medicare?

Yes. Sumit Chawla 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 Sumit Chawla accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Sumit Chawla 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 Chawla affiliated with any hospitals?

According to CMS data, Sumit Chawla is affiliated with Hendricks Regional Health, Hancock Regional Hospital and Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Sumit Chawla was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.