YOHAN SUMATHIPALA
NPI 1730876020
Emergency Medicine in Charlottesville, VA
About Yohan Sumathipala NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOHAN SUMATHIPALA (NPI 1730876020) is an individual emergency medicine provider in Charlottesville, Virginia, licensed in Virginia (0101289188) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Yohan Sumathipala 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.
Medicare Billing Reassignments
2Medicare enrollment records show Yohan Sumathipala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Virginia Medical Center
Acute Care Hospitals · Charlottesville, VANovant Health Uva Health System Culpeper Med Cente
Acute Care Hospitals · Culpeper, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Yohan Sumathipala's NPI number?
The NPI number for Yohan Sumathipala is 1730876020. It was assigned to this individual provider in the NPPES registry on April 18, 2023.
Where is Yohan Sumathipala located?
Yohan Sumathipala practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2231.
What is Yohan Sumathipala's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Yohan Sumathipala enrolled in Medicare?
Yes. Yohan Sumathipala 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.
Which organizations bill Medicare for Yohan Sumathipala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yohan Sumathipala reassigns Medicare benefits to 2 organizations: University Of Virginia Physicians Group (Charlottesville, VA) and Emergency Medicine Associates P.A., P.C. (Culpeper, VA). 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 Yohan Sumathipala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yohan Sumathipala accept?
Health plans from Oscar Health list Yohan Sumathipala 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.
Is Yohan Sumathipala affiliated with any hospitals?
According to CMS data, Yohan Sumathipala is affiliated with University Of Virginia Medical Center and Novant Health Uva Health System Culpeper Med Cente.
When was this NPI record last updated?
The NPPES record for Yohan Sumathipala was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Yohan Sumathipala · NPI 1730876020
Emergency Medicine physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1730876020 (Entity type: Individual)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101289188 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-0816
- **Phone:** (434) 924-2231 · **Fax:** (434) 924-9295
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA); Emergency Medicine Associates P.A., P.C. (NPI 1881559102, Culpeper, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730876020) · Data from the CMS NPPES public registry.