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SUNITA DIA MD
NPI 1750732293
Internal Medicine - Rheumatology in Spartanburg, SC

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1330 BOILING SPRINGS RD STE 1700, SPARTANBURG, SC 29303(645) 606-8448(864) 560-7015 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2021, Sep 29, 2021, Sep 16, 2021 and 2 more (5 updates tracked since 2016).

About Sunita Dia Md NPPES

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

SUNITA DIA MD (NPI 1750732293) is an individual rheumatology provider in Spartanburg, South Carolina, licensed in South Carolina (85308) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1750732293
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSUNITA DIACredential: MD
Location Address1330 BOILING SPRINGS RD STE 1700Spartanburg, SC 29303-4208
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(645) 606-8448
Fax(864) 560-7015
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 27, 2016
Last NPPES UpdateOctober 15, 20215 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1750732293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in SC · 85308
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1330 BOILING SPRINGS RD STE 1700, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 2

Medicaid853080SC
OtherSCL2303365SC · Medicare Pin

Accepted Insurance

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

Sunita Dia 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 ID9739586017
PECOS Enrollment IDI20210929002236
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 3

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.
313 services162 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.
77 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services52 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

SPARTANBURG MEDICAL CENTER
Internal Medicine (Rheumatology)
1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6844
COURTNEY HILL KALLINGER PA-C
Physician Assistant
1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6844
JONATHAN MILES MCGEHEE NP
Nurse Practitioner (Family)
1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6844
MATTHEW JAMES AUSSPRUNG
Internal Medicine (Rheumatology)
1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6844

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 Sunita Dia's NPI number?

The NPI number for Sunita Dia is 1750732293. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Sunita Dia located?

Sunita Dia practices at 1330 Boiling Springs Rd Ste 1700, Spartanburg, SC 29303. The listed phone number is (645) 606-8448.

What is Sunita Dia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sunita Dia enrolled in Medicare?

Yes. Sunita Dia 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 Sunita Dia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Sunita Dia 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 Sunita Dia affiliated with any hospitals?

According to CMS data, Sunita Dia is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Sunita Dia was last updated on October 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.