KRISHNA MURTHY SUNDAR MD
NPI 1801802186
Internal Medicine - Sleep Medicine in Provo, UT

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
1055 N 300 W, #500, PROVO, UT 84604(801) 357-7291 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2023, Nov 23, 2021, Feb 18, 2021 and 1 more (4 updates tracked since 2017).

About Krishna Murthy Sundar Md NPPES

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

KRISHNA MURTHY SUNDAR MD (NPI 1801802186) is an individual sleep medicine provider in Provo, Utah, licensed in Utah (316489-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1801802186
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameKRISHNA MURTHY SUNDARCredential: MD
Location Address1055 N 300 W, #500Provo, UT 84604-3344
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7291
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1801802186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in UT · 316489-1205
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 316989 (UT)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 316489-1205 (UT)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 316489-1205 (UT)
1055 N 300 W, Provo, UT 84604

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

Krishna Murthy Sundar 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 ID6406757731
PECOS Enrollment IDI20240905001410
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.

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.
70 services63 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.
57 services47 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
50 services50 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
28 services28 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.
28 services27 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
25 suppliers285 claims285 services$32.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
25 suppliers209 claims209 services$80.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers216 claims573 services$30.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
17 suppliers102 claims514 services$15.02 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers33 claims194 services$12.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
21 suppliers126 claims126 services$47.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Sleep Disorder Diagnostic)
1055 N 300 W, SUITE 402
PROVO, UT 84604
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1055 N 300 W, #110
PROVO, UT 84604
Psychologist (Clinical)
1055 N 300 W, SUITE 414
PROVO, UT 84604
Specialist
1055 N 300 W, #308
PROVO, UT 84604
Otolaryngology (Pediatric Otolaryngology)
1055 N 300 W, STE 401
PROVO, UT 84604
Obstetrics & Gynecology (Gynecology)
1055 N 300 W, SUITE 305
PROVO, UT 84604
Audiologist
1055 N 300 W, STE 401
PROVO, UT 84604
Nurse Practitioner
1055 N 300 W, STE 401
PROVO, UT 84604

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 Krishna Sundar's NPI number?

The NPI number for Krishna Sundar is 1801802186. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Krishna Sundar located?

Krishna Sundar practices at 1055 N 300 W #500, Provo, UT 84604. The listed phone number is (801) 357-7291.

What is Krishna Sundar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Krishna Sundar enrolled in Medicare?

Yes. Krishna Sundar 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 Krishna Sundar accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Krishna Sundar 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.

When was this NPI record last updated?

The NPPES record for Krishna Sundar was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.