DR. SUMIT J. PATEL MD
NPI 1740743210
Internal Medicine - Pulmonary Disease in Salt Lake City, UT

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
92.28/100
CMS Quality Rating
26 N 1900 E RM 701, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2023, Apr 10, 2019 (2 updates tracked since 2019).

About Dr. Sumit J. Patel Md NPPES

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

DR. SUMIT J. PATEL MD (NPI 1740743210) is an individual pulmonary disease provider in Salt Lake City, Utah, licensed in Utah (13274779-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1740743210
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SUMIT J. PATELCredential: MD
Location Address26 N 1900 E RM 701Salt Lake City, UT 84132-0002
Mailing Address26 N 1900 E Rm 701Salt Lake City, UT 84132-0002 · (801) 581-2121
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
NPI 1740743210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in UT · 13274779-1205
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 13274779-1205 (UT)
26 N 1900 E RM 701, Salt Lake City, UT 84132

Secondary Practice Location 1

Location 11111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-2266

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. Sumit J. Patel 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 ID9032444047
PECOS Enrollment IDI20241010003257
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.

Hospital Affiliations CMS Care Compare

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

92.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost51.21

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Critical Care Medicine)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Internal Medicine (Pulmonary Disease)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Internal Medicine (Pulmonary Disease)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Internal Medicine (Pulmonary Disease)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Internal Medicine (Critical Care Medicine)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Internal Medicine (Pulmonary Disease)
26 N 1900 E RM 701, MAXWELL
SALT LAKE CITY, UT 84132

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 Sumit Patel's NPI number?

The NPI number for Sumit Patel is 1740743210. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Sumit Patel located?

Sumit Patel practices at 26 N 1900 E Rm 701, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Sumit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sumit Patel enrolled in Medicare?

Yes. Sumit Patel 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 Sumit Patel accept?

Health plans from Select Health list Sumit Patel 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 Sumit Patel affiliated with any hospitals?

According to CMS data, Sumit Patel is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Sumit Patel was last updated on March 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.