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SUNIL KUMTA
NPI 1710202460
Internal Medicine in Charlotte, NC

Active since April 06, 2010PECOS Enrolled
2001 VAIL AVE, CHARLOTTE, NC 28207(704) 304-6070 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 24, 2018, Oct 18, 2018, Jan 19, 2016 and 1 more (4 updates tracked since 2015).

About Sunil Kumta NPPES

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

SUNIL KUMTA (NPI 1710202460) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2013-01908) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710202460
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUNIL KUMTA
Location Address2001 VAIL AVECharlotte, NC 28207-1248
Mailing Address2001 Vail AveCharlotte, NC 28207-1248
Phone(704) 304-6070
Sole ProprietorNo
Enumeration DateApril 6, 2010
Last NPPES UpdateOctober 24, 20184 updates tracked since enumeration
✔ NPI 1710202460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2013-01908
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.
2001 VAIL AVE, Charlotte, NC 28207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunil Kumta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sunil Kumta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caromont Medical Group Inc
9.1 mi
Family Medicine
9310 STRAUSE DR STE A
Charlotte, NC 28214
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1326775404 (704) 398-6488
Hospitalist Medicine Physicians Of North Carolina PLLC
84 mi
Internal Medicine
1200 N ELM ST, 5TH FLOOR
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 254 clinicians in this Medicare group
NPI 1164724902 (336) 832-5777
Cogent Healthcare Of North Carolina, PC
175 mi
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
NPI 1548207483 (828) 456-7311
Carteret County General Hospital Corporation
233 mi
Urgent Care
3722 BRIDGES ST, SUITE A
Morehead City, NC 28557
  • Reassigned Medicare billing, North Carolina enrollment
  • 283 clinicians in this Medicare group
NPI 1184951840 (252) 808-6136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
913 services634 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
356 services213 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
332 services144 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
245 services245 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers47 claims47 services$18.65 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers79 claims79 services$108.79 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier31 claims31 services$37.61 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.

LESLIE KAY RUFFING ADCOCK MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
TAYLOR DEREK JOHNSON MD
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-5000
JENNIFER J CLINE PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5837
VISHALAKSHI KALYANA SUNDARAM MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
KRYSTENE LYNN HELGESON PA
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-6070
ESTHER REBECCA LANDIS HAYES MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
SHENA S PATEL PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5632
DUPAL PATEL MD
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000

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 Sunil Kumta's NPI number?

The NPI number for Sunil Kumta is 1710202460. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Sunil Kumta located?

Sunil Kumta practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-6070.

What is Sunil Kumta's specialty?

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

Is Sunil Kumta enrolled in Medicare?

Yes. Sunil Kumta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sunil Kumta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Kumta reassigns Medicare benefits to 4 organizations: Caromont Medical Group Inc (Charlotte, NC), Hospitalist Medicine Physicians Of North Carolina PLLC (Greensboro, NC), Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC) and Carteret County General Hospital Corporation (Morehead City, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunil Kumta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Kumta accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Sunil Kumta 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 Sunil Kumta was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.