DR. SUMEET MUNJAL MD
NPI 1578819546
Internal Medicine - Nephrology in Montgomery, AL

Active since July 27, 2012PECOS EnrolledAccepts Medicare Assignment
23.06/100
CMS Quality Rating
239 MITYLENE PARK DR, MONTGOMERY, AL 36117(334) 603-6626(706) 324-3419 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2020, Mar 29, 2018 (2 updates tracked since 2018).

About Dr. Sumeet Munjal Md NPPES

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

DR. SUMEET MUNJAL MD (NPI 1578819546) is an individual nephrology provider in Montgomery, Alabama, licensed in Alabama (MD.35005) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578819546
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SUMEET MUNJALCredential: MD
Location Address239 MITYLENE PARK DRMontgomery, AL 36117-3547
Mailing Address239 Mitylene Park DrMontgomery, AL 36117-3547 · (706) 322-1486 · Fax (706) 324-3419
Fax(706) 324-3419
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 27, 2012
Last NPPES UpdateNovember 13, 20202 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
NPI 1578819546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AL · MD.35005
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
239 MITYLENE PARK DR, Montgomery, AL 36117

Secondary Practice Location 1

Location 16228 Bradley Park Dr Ste AColumbus, GA 31904-3605 · Phone (706) 322-1486 · Fax (706) 324-3419

Other Identifiers 1

Medicaid254675AL

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 Munjal 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 ID7113205642
PECOS Enrollment IDI20200820003398
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 11

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.
597 services154 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.
451 services215 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.
152 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
127 services96 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
71 services37 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.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

23.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost76.87

Other Providers at the Same Location NPPES 7

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

Family Medicine
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Pediatrics (Pediatric Cardiology)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Family Medicine
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Pediatrics (Pediatric Cardiology)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Nurse Practitioner (Adult Health)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Pediatrics (Pediatric Cardiology)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117

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 Munjal's NPI number?

The NPI number for Sumeet Munjal is 1578819546. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Sumeet Munjal located?

Sumeet Munjal practices at 239 Mitylene Park Dr, Montgomery, AL 36117. The listed phone number is (334) 603-6626.

What is Sumeet Munjal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sumeet Munjal enrolled in Medicare?

Yes. Sumeet Munjal 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 Munjal accept?

Health plans from Blue Cross and Blue Shield of Alabama list Sumeet Munjal 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.

When was this NPI record last updated?

The NPPES record for Sumeet Munjal was last updated on November 13, 2020. 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.