SWARNALATHA UDAY SUMATHY MD
NPI 1689236309
Internal Medicine in Bristol, CT

Q: What is Swarnalatha Uday Sumathy's NPI number?

The NPI number for Swarnalatha Uday Sumathy is 1689236309. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Swarnalatha Uday Sumathy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment

30.41/100

CMS Quality Rating

41 BREWSTER RD, BRISTOL, CT 06010(860) 585-3000 Get Directions Write a Review

NPPES record last updated: August 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2022, Jul 2, 2019 (2 updates tracked since 2019).

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About Swarnalatha Uday Sumathy Md NPPES

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

SWARNALATHA UDAY SUMATHY MD (NPI 1689236309) is an individual internal medicine provider in Bristol, Connecticut, licensed in Connecticut (70372) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689236309

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSWARNALATHA UDAY SUMATHYCredential: MD

Location Address41 BREWSTER RDBristol, CT 06010-5141

Mailing AddressPo Box 2828Bristol, CT 06011-2828 · (860) 585-3000

Phone(860) 585-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 2, 2019

Last NPPES UpdateAugust 3, 20252 updates tracked since enumeration

NPPES CertifiedAugust 3, 2025

✔ NPI 1689236309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CT · 70372

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

41 BREWSTER RD, Bristol, CT 06010

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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

Swarnalatha Uday Sumathy 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 ID3476934472

PECOS Enrollment IDI20220722000433

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 3

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 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.

278 services103 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.

103 services92 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

41 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

30.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

12.45

Promoting Interoperability

Improvement Activities

Cost

47.24

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.

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