SUNAL S. MAKADIA M.D.
NPI 1790074276
Internal Medicine - Cardiovascular Disease in Baltimore, MD

Q: What is Sunal Makadia's NPI number?

The NPI number for Sunal Makadia is 1790074276. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Q: What is Sunal Makadia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sunal Makadia was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2011PECOS Enrolled

76.58/100

CMS Quality Rating

2700 QUARRY LAKE DR STE 240, BALTIMORE, MD 21209(410) 367-2590(410) 367-2596 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2018, Jul 13, 2017, Aug 29, 2016 (3 updates tracked since 2016).

On this page

About Sunal S. Makadia M.d. NPPES

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

SUNAL S. MAKADIA M.D. (NPI 1790074276) is an individual cardiovascular disease provider in Baltimore, Maryland, licensed in Maryland (D77496) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Lutherville.

NPPES Registry Identity

NPI1790074276

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSUNAL S. MAKADIACredential: M.D.

Location Address2700 QUARRY LAKE DR STE 240Baltimore, MD 21209-3769

Mailing Address2700 Quarry Lake Dr Ste 240Baltimore, MD 21209-3769 · (410) 367-2590 · Fax (410) 367-2596

Phone(410) 367-2590

Fax(410) 367-2596

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2011

Enumeration DateApril 5, 2011

Last NPPES UpdateApril 1, 20223 updates tracked since enumeration

NPPES CertifiedApril 1, 2022

✔ NPI 1790074276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MD · D77496

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.

2700 QUARRY LAKE DR STE 240, Baltimore, MD 21209

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Secondary Practice Location 1

Location 12328 W Joppa Rd Ste 310Lutherville, MD 21093-4685 · Phone (410) 367-2590 · Fax (410) 367-2596

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunal S. Makadia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820248438

PECOS Enrollment IDI20150106001821

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.

Medicare Billing Reassignments

Medicare enrollment records show Sunal Makadia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sinai Hospital Of Baltimore Inc

2.6 mi

Rheumatology

2435 W BELVEDERE AVE STE 22
Baltimore, MD 21215

Reassigned Medicare billing, Maryland enrollment
664 clinicians in this Medicare group

NPI 1124043757 (410) 601-6314

Frederick Health Hospital Inc

35 mi

Radiology

3430 WORTHINGTON BLVD
Frederick, MD 21704

Reassigned Medicare billing, Maryland enrollment
45 clinicians in this Medicare group

NPI 1124700158 (301) 874-2163

Sherman Kahan, MD, PA

38 mi

Cardiovascular Disease

74 THOMAS JOHNSON DR
Frederick, MD 21702

Reassigned Medicare billing, Maryland enrollment
Medicare enrollment name: Sherman Kahan, M.D., P.A.
20 clinicians in this Medicare group

NPI 1801812987 (301) 694-9033

Inova Health Care Services

46 mi

Multi-Specialty

2740 PROSPERITY AVE STE 200
Fairfax, VA 22031

Reassigned Medicare billing, District of Columbia and Maryland enrollments
Also billed through NPI 1952320061 (Maryland)
2,618 clinicians in this Medicare group

NPI 1669511051 (703) 321-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 28

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.

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.

943 services540 patients

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.

935 services163 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

734 services638 patients

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.

660 services426 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.

518 services497 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.

425 services106 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

201 services200 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

201 services200 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

197 services196 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

194 services191 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

182 services181 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.

176 services114 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.

121 services110 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.

117 services56 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.

89 services89 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

71 services70 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

70 services65 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

68 services67 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

58 services57 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

57 services57 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

49 services49 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

45 services43 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

45 services44 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

33 services33 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

27 services27 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

19 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

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

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210040

Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County

Emergency services

Levindale Hebrew Geriatric Center And Hospital

Acute Care Hospitals · Baltimore, MD

OwnershipVoluntary non-profit - Private

CMS Certification Number210064

Location2434 West Belvedere AvenueBaltimore, MD 21209 · Baltimore City County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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.

76.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.56

Promoting Interoperability

100

Improvement Activities

Cost

48.54

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.

DR. PAUL ALFRED GURBEL M.D.

Internal Medicine (Cardiovascular Disease)

2700 QUARRY LAKE DR STE 240
BALTIMORE, MD 21209

Baltimore County (410) 367-2590

NAUMAN SIDDIQI MD

Internal Medicine (Cardiovascular Disease)

2700 QUARRY LAKE DR STE 240
BALTIMORE, MD 21209

Baltimore County (410) 367-2590

LIFEBRIDGE COMMUNITY PHYSICIANS, INC.

Internal Medicine (Cardiovascular Disease)

2700 QUARRY LAKE DR STE 240
BALTIMORE, MD 21209

Baltimore County (410) 367-2590

KEVIN DONNELLY CRNP-FNP

Nurse Practitioner (Family)

2700 QUARRY LAKE DR STE 240
BALTIMORE, MD 21209

Baltimore County (410) 367-2590

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 Sunal Makadia's NPI number?

The NPI number for Sunal Makadia is 1790074276. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is Sunal Makadia located?

Sunal Makadia practices at 2700 Quarry Lake Dr Ste 240, Baltimore, MD 21209. The listed phone number is (410) 367-2590.

What is Sunal Makadia's specialty?

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

Is Sunal Makadia enrolled in Medicare?

Yes. Sunal Makadia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sunal Makadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunal Makadia reassigns Medicare benefits to 4 organizations: Sinai Hospital Of Baltimore Inc (Baltimore, MD), Frederick Health Hospital Inc (Frederick, MD), Sherman Kahan, MD, PA (Frederick, MD) and Inova Health Care Services (Fairfax, 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 Sunal Makadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sunal Makadia affiliated with any hospitals?

According to CMS data, Sunal Makadia is affiliated with Johns Hopkins Hospital, The, Sinai Hospital Of Baltimore, Northwest Hospital Center and Levindale Hebrew Geriatric Center And Hospital.

When was this NPI record last updated?

The NPPES record for Sunal Makadia was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.