DR. SUMIT DAHAL
NPI 1477957900
Hospitalist in Bangor, ME

Active since October 13, 2014PECOS EnrolledAccepts Medicare Assignment
489 STATE ST, BANGOR, ME 04401(207) 973-6676 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2022, Oct 28, 2018 (2 updates tracked since 2018).

About Dr. Sumit Dahal NPPES

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

DR. SUMIT DAHAL (NPI 1477957900) is an individual hospitalist provider in Bangor, Maine, licensed in Maine (MD22091) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1477957900
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SUMIT DAHAL
Location Address489 STATE STBangor, ME 04401-6616
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 13, 2014
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1477957900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ME · MD22091
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.

489 STATE ST, Bangor, ME 04401

Secondary Practice Location 1

Location 11545 Atlantic AveBrooklyn, NY 11213-1122 · Phone (718) 613-4246

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. Sumit Dahal 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 ID1658620380
PECOS Enrollment IDI20180814001275, I20250902000287
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 4

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.
433 services142 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.
62 services62 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.
30 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services13 patients

Hospital Affiliations CMS Care Compare 3

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

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

Pharmacist (Pharmacotherapy)
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Pharmacist (Pharmacotherapy)
489 STATE ST
BANGOR, ME 04401
Pharmacist
489 STATE ST, EASTERN MAINE MEDICAL CENTER
BANGOR, ME 04401
Physician Assistant (Medical)
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner (Family)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Advanced Practice Midwife
489 STATE ST
BANGOR, ME 04401

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 Dahal's NPI number?

The NPI number for Sumit Dahal is 1477957900. It was assigned to this individual provider in the NPPES registry on October 13, 2014.

Where is Sumit Dahal located?

Sumit Dahal practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 973-6676.

What is Sumit Dahal's specialty?

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

Is Sumit Dahal enrolled in Medicare?

Yes. Sumit Dahal 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 Sumit Dahal affiliated with any hospitals?

According to CMS data, Sumit Dahal is affiliated with Northern Light Eastern Maine Medical Center, Cape Cod Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Sumit Dahal was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.