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DR. SUNIL K DAMA M.D.
NPI 1801845334
Internal Medicine - Sleep Medicine in Cincinnati, OH

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
2123 AUBURN AVE STE 440, CINCINNATI, OH 45219(513) 648-8980(513) 648-8988 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2021, Oct 22, 2020 (2 updates tracked since 2020).

About Dr. Sunil K Dama M.d. NPPES

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

DR. SUNIL K DAMA M.D. (NPI 1801845334) is an individual sleep medicine provider in Cincinnati, Ohio, licensed in Ohio (35.081098) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1801845334
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. SUNIL K DAMACredential: M.D.
Location Address2123 AUBURN AVE STE 440Cincinnati, OH 45219-2906
Mailing Address2123 Auburn Ave Ste 440Cincinnati, OH 45219-2906 · (513) 648-8980 · Fax (513) 648-8988
Phone(513) 648-8980
Fax(513) 648-8988
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1801845334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in OH · 35.081098
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 Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.081098D (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35.081098D (OH)
2123 AUBURN AVE STE 440, Cincinnati, OH 45219
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Other Identifiers 3

Medicaid200384940AIN
Medicaid64052970KY
Medicaid2319977OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Sunil K Dama M.d. 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 ID6002943222
PECOS Enrollment IDI20100420000855, I20200529002447
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 9

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.

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.
211 services211 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.
167 services131 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.
131 services129 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
100 services97 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
94 services93 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.
72 services65 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

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
28 suppliers370 claims370 services$30.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
23 suppliers237 claims237 services$73.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
20 suppliers200 claims455 services$28.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers141 claims705 services$15.12 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
19 suppliers120 claims600 services$13.05 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
24 suppliers332 claims332 services$46.51 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 6

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

ANDREA MARION MALSON NURSE PRACTITIONER
Nurse Practitioner (Family)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Hamilton County (513) 648-8980
DR. CHIRANJEEVI PRAMODNATH REDDY SIDDAGUNTA MBBS
Family Medicine (Sleep Medicine)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Hamilton County (513) 648-8980
MELANIE NICOLE LUTTRELL CNP
Nurse Practitioner (Adult Health)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Hamilton County (513) 648-8980
DR. KARTHIKEYAN KANAGARAJAN M.D.
Internal Medicine (Sleep Medicine)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Hamilton County (513) 648-8980
ANNA MARIA FOX CNP
Nurse Practitioner (Adult Health)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Hamilton County (513) 585-2393
KANHYA TON NP-C
Nurse Practitioner
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Hamilton County (513) 648-8980

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 Sunil Dama's NPI number?

The NPI number for Sunil Dama is 1801845334. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Sunil Dama located?

Sunil Dama practices at 2123 Auburn Ave Ste 440, Cincinnati, OH 45219. The listed phone number is (513) 648-8980.

What is Sunil Dama's specialty?

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

Is Sunil Dama enrolled in Medicare?

Yes. Sunil Dama 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 Sunil Dama accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Sunil Dama 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 Sunil Dama affiliated with any hospitals?

According to CMS data, Sunil Dama is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Dama was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.