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SUMITA SAHA M.D.
NPI 1821210857
Surgery - Plastic and Reconstructive Surgery in Battle Creek, MI

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
92.05/100
CMS Quality Rating
7070 E DR N, BATTLE CREEK, MI 49014(269) 660-1670(269) 660-0666 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sumita Saha M.d. NPPES

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

SUMITA SAHA M.D. (NPI 1821210857) is an individual plastic and reconstructive surgery provider in Battle Creek, Michigan, licensed in Michigan (4301101751) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Oaklawn Hospital, and is a graduate of Georgetown University School Of Medicine (2006).

NPPES Registry Identity

NPI1821210857
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameSUMITA SAHACredential: M.D.
Location Address7070 E DR NBattle Creek, MI 49014-8562
Mailing AddressPo Box 746748Atlanta, GA 30374-6748 · (866) 680-8505 · Fax (937) 436-4156
Phone(269) 660-1670
Fax(269) 660-0666
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2006
Enumeration DateMay 2, 2007
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1821210857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MI · 4301101751
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 4301101751 (MI)
7070 E DR N, Battle Creek, MI 49014
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sumita Saha 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 ID345419859
PECOS Enrollment IDI20121005000616
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

2

Medicare enrollment records show Sumita Saha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ella E M Brown Charitable Circle
8.5 mi
Psychiatry
15209 W MICHIGAN AVE
Marshall, MI 49068
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1457400806 (269) 781-9119
Dermatology & Skin Surgery Center
8.7 mi
Specialist
7070 E DR N
Battle Creek, MI 49014
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1083649628 (269) 660-1670

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 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.

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.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

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.

92.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.19
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Advance Care Plan
98%87 patients4/55-star benchmark: 100%
Breast Cancer Screening
37%83 patients2/55-star benchmark: 93%
Controlling High Blood Pressure
87%45 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%372 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%317 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%294 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 216 patients
Patients screened: 100% · 216 patients
93%30 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
53%298 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

AMBER CORNEILLIE PA-C
Physician Assistant (Surgical)
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670
JAMI RIDGEWAY PA-C
Physician Assistant
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670
DIANA CARMODY PARKS RN MS CFNP
Nurse Practitioner (Family)
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670
DERMATOLOGY & SKIN SURGERY CENTER
Specialist
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670
DR. JUANITA PREMA MOSES M.D.
Pediatrics
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670
STEPHANIE M MASON PA-C
Physician Assistant
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670
DR. DONN ALAN LATOUR M.D.
Dermatology (MOHS-Micrographic Surgery)
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670
CALLE CARROLL PA-C
Physician Assistant
7070 E DR N
BATTLE CREEK, MI 49014
Calhoun County (269) 660-1670

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 Sumita Saha's NPI number?

The NPI number for Sumita Saha is 1821210857. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Sumita Saha located?

Sumita Saha practices at 7070 E Dr N, Battle Creek, MI 49014. The listed phone number is (269) 660-1670.

What is Sumita Saha's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Sumita Saha enrolled in Medicare?

Yes. Sumita Saha 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.

Which organizations bill Medicare for Sumita Saha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumita Saha reassigns Medicare benefits to 2 organizations: Ella E M Brown Charitable Circle (Marshall, MI) and Dermatology & Skin Surgery Center (Battle Creek, MI). 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 Sumita Saha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumita Saha accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Sumita Saha 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 Sumita Saha affiliated with any hospitals?

According to CMS data, Sumita Saha is affiliated with Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Sumita Saha was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.