DR. SUMITA PAUL MD, MPH
NPI 1710960893
Internal Medicine - Cardiovascular Disease in University Park, FL

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6435 BERKSHIRE PL, UNIVERSITY PARK, FL 34201(617) 831-9254(941) 718-4913 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2024, May 6, 2024, Sep 1, 2023 and 5 more (8 updates tracked since 2016).

About Dr. Sumita Paul Md, Mph NPPES

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

DR. SUMITA PAUL MD, MPH (NPI 1710960893) is an individual cardiovascular disease provider in University Park, Florida, licensed in Florida (133478) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1710960893
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUMITA PAULCredential: MD, MPH
Location Address6435 BERKSHIRE PLUniversity Park, FL 34201-2223
Mailing Address6435 Berkshire PlUniversity Park, FL 34201-2223 · (617) 831-9254 · Fax (941) 718-4913
Fax(941) 718-4913
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 22, 2005
Last NPPES UpdateFebruary 16, 20238 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
NPI 1710960893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · 133478
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10112700 (NJ)
6435 BERKSHIRE PL, University Park, FL 34201

Other Names 1

Former Name (1)Dr. Sumita Chowdhury Md, Mph

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Sumita Paul Md, Mph 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 ID4183610629
PECOS Enrollment IDI20240821004862
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 18

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.

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.
254 services215 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
158 services150 patients
External counterpulsation, per treatment session G0166
External counterpulsation is a non-invasive treatment for heart disease. It uses cuffs on your legs to increase blood flow to your heart during rest periods of your heartbeat. This can help relieve chest pain and improve exercise tolerance.
155 services13 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
85 services22 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.
80 services80 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
74 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34201 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Sumita Paul's NPI number?

The NPI number for Sumita Paul is 1710960893. It was assigned to this individual provider in the NPPES registry on November 22, 2005. The provider is also known as Dr. Sumita Chowdhury MD, Mph.

Where is Sumita Paul located?

Sumita Paul practices at 6435 Berkshire Pl, University Park, FL 34201. The listed phone number is (617) 831-9254.

What is Sumita Paul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sumita Paul enrolled in Medicare?

Yes. Sumita Paul 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 Sumita Paul accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sumita Paul 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 Sumita Paul was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.