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DR. DEBASISH SUNDI M.D.
NPI 1477794113
Urology in Columbus, OH

Active since March 10, 2009PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
300 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8155(614) 293-3565 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2021, Nov 6, 2017, Aug 31, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Debasish Sundi M.d. NPPES

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

DR. DEBASISH SUNDI M.D. (NPI 1477794113) is an individual urology provider in Columbus, Ohio, licensed in Ohio (35131848) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Northwestern University Feinberg Medical School (2009).

NPPES Registry Identity

NPI1477794113
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DEBASISH SUNDICredential: M.D.
Location Address300 W 10TH AVEColumbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8155 · Fax (614) 293-3565
Phone(614) 293-8155
Fax(614) 293-3565
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2009
Enumeration DateMarch 10, 2009
Last NPPES UpdateMarch 10, 20214 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1477794113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35131848
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
300 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Other Identifiers 1

Medicaid0240554OH

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

Dr. Debasish Sundi 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 ID6800045188
PECOS Enrollment IDI20170915002841
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 7

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
123 services65 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.
66 services51 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services26 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
23 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers22 claims64 services$9.06 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
3 suppliers19 claims590 services$8.13 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.

SETHU M. MADHAVAN MD
Internal Medicine (Nephrology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3387
THE ARTHUR G. JAMES CANCER HOSPITAL AND RICHARD J. SOLOVE RESEARCH INS
General Acute Care Hospital
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8000
MORGAN ELIZABETH HILLSHAFER APRN-CNP
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-4925
CHERYL TAYLORE LEE MD
Urology
300 W 10TH AVE, 1ST FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-8155
DR. VIKRAM BADHRI CHAKRAVARTHY M.D.
Neurological Surgery
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
MICHAEL CHI GONG MD
Urology
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 685-4263
DR. SUSHIL S. LAKHANI M.D.
Psychiatry & Neurology (Vascular Neurology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-4969
THOMAS S. LIN M.D.
Internal Medicine (Hematology & Oncology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 947-3700

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 Debasish Sundi's NPI number?

The NPI number for Debasish Sundi is 1477794113. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Where is Debasish Sundi located?

Debasish Sundi practices at 300 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8155.

What is Debasish Sundi's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Debasish Sundi enrolled in Medicare?

Yes. Debasish Sundi 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 Debasish Sundi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Debasish Sundi 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 Debasish Sundi affiliated with any hospitals?

According to CMS data, Debasish Sundi is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Debasish Sundi was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.