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DR. SONIA A SUGUMAR MD
NPI 1720583826
Internal Medicine in Baltimore, MD

Active since March 29, 2018PECOS Enrolled
76.58/100
CMS Quality Rating
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(410) 601-7639 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2021, Mar 29, 2018 (2 updates tracked since 2018).

About Dr. Sonia A Sugumar Md NPPES

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

DR. SONIA A SUGUMAR MD (NPI 1720583826) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D91614) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720583826
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SONIA A SUGUMARCredential: MD
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (410) 601-7639
Phone(410) 601-7639
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1720583826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D91614
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2401 W BELVEDERE AVE, Baltimore, MD 21215
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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 (PECOS)

Dr. Sonia A Sugumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193074193
PECOS Enrollment IDI20210526002554
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 7

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.
349 services143 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.
198 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services51 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.
50 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

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.

KRISTEN MARLL
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
ANDREW BRAVE CRNP
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-9000
DR. CHRISTIAN KADIRI MD
Internal Medicine
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-0594
SNJEZANA JANKOVIC NP
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-9802
KATHRYN KEMP
Pediatrics (Pediatric Critical Care Medicine)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-9000
YULANDA BLACKSTON LGPC
Counselor (Professional)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 459-3040
DUNCAN MCELFRESH CRNA
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE, ANESTHESIA DEPARTMENT
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
MRS. KERRY SWEENEY MCCARTNEY FNP
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5373

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 Sonia Sugumar's NPI number?

The NPI number for Sonia Sugumar is 1720583826. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Sonia Sugumar located?

Sonia Sugumar practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 601-7639.

What is Sonia Sugumar's specialty?

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

Is Sonia Sugumar enrolled in Medicare?

Yes. Sonia Sugumar is registered in the Medicare PECOS enrollment system.

Is Sonia Sugumar affiliated with any hospitals?

According to CMS data, Sonia Sugumar is affiliated with Sinai Hospital Of Baltimore.

When was this NPI record last updated?

The NPPES record for Sonia Sugumar was last updated on May 24, 2021. 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.