DR. SUMEET JAGDISH BHUSHAN MD
NPI 1558337451
Internal Medicine - Gastroenterology in Chattanooga, TN

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
87.73/100
CMS Quality Rating
2200 E 3RD ST STE 200, CHATTANOOGA, TN 37404(423) 643-2500(423) 305-7822 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2023, Jan 10, 2023, Dec 19, 2018 (3 updates tracked since 2018).

About Dr. Sumeet Jagdish Bhushan Md NPPES

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

DR. SUMEET JAGDISH BHUSHAN MD (NPI 1558337451) is an individual gastroenterology provider in Chattanooga, Tennessee, licensed in Tennessee (30917) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558337451
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SUMEET JAGDISH BHUSHANCredential: MD
Location Address2200 E 3RD ST STE 200Chattanooga, TN 37404-2745
Mailing Address4976 Alpha LnHixson, TN 37343-5470 · (423) 497-5355 · Fax (423) 308-0281
Fax(423) 305-7822
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1997
Enumeration DateFebruary 28, 2006
Last NPPES UpdateNovember 29, 20233 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
NPI 1558337451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TN · 30917
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2200 E 3RD ST STE 200, Chattanooga, TN 37404

Secondary Practice Locations 3

Location 11651 Gunbarrel Rd Ste 102Chattanooga, TN 37421-3289 · Phone (423) 308-0390 · Fax (423) 308-0395
Location 24980 Alpha LnHixson, TN 37343-5470 · Phone (423) 643-2500 · Fax (423) 305-7822
Location 37425 Ziegler Rd Ste 143Chattanooga, TN 37421-4658 · Phone (423) 643-2500 · Fax (423) 305-7822

Accepted 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. Sumeet Jagdish Bhushan 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 ID6204892722
PECOS Enrollment IDI20041207000466
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 17

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
294 services293 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
152 services151 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
144 services144 patients
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.
133 services126 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.
121 services121 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
87 services87 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

87.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.67
Promoting Interoperability83
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Gastroenterology)
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404
Physician Assistant
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404
Internal Medicine (Gastroenterology)
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404
Internal Medicine (Gastroenterology)
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404
Internal Medicine (Gastroenterology)
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2200 E 3RD ST STE 200
CHATTANOOGA, TN 37404

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 Sumeet Bhushan's NPI number?

The NPI number for Sumeet Bhushan is 1558337451. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Sumeet Bhushan located?

Sumeet Bhushan practices at 2200 E 3rd St Ste 200, Chattanooga, TN 37404. The listed phone number is (423) 643-2500.

What is Sumeet Bhushan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sumeet Bhushan enrolled in Medicare?

Yes. Sumeet Bhushan 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 Sumeet Bhushan accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Sumeet Bhushan 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 Sumeet Bhushan affiliated with any hospitals?

According to CMS data, Sumeet Bhushan is affiliated with Memorial Healthcare System, Inc and Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Sumeet Bhushan was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.