SUMIT SOHAL
NPI 1831610302
Internal Medicine - Cardiovascular Disease in Altoona, PA

Q: What is Sumit Sohal's NPI number?

The NPI number for Sumit Sohal is 1831610302. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Q: What is Sumit Sohal'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 Sumit Sohal was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 05, 2017PECOS EnrolledAccepts Medicare Assignment

1414 9TH AVE, ALTOONA, PA 16602(814) 949-6149 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2024, Jul 17, 2024, Jun 27, 2020 and 1 more (4 updates tracked since 2017).

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About Sumit Sohal NPPES

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

SUMIT SOHAL (NPI 1831610302) is an individual cardiovascular disease provider in Altoona, Pennsylvania, licensed in Pennsylvania (230064679) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831610302

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSUMIT SOHAL

Location Address1414 9TH AVEAltoona, PA 16602-2415

Mailing Address1414 9th AveAltoona, PA 16602-2415

Phone(814) 949-6149

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 5, 2017

Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1831610302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · 230064679

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.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 230064679 (PA)

1414 9TH AVE, Altoona, PA 16602

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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

Sumit Sohal 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 ID9638614530

PECOS Enrollment IDI20240716002002

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 Reassignment

Medicare enrollment records show Sumit Sohal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upmc Altoona Regional Health Services, Inc

0.1 mi

Internal Medicine

1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602

Reassigned Medicare billing, Pennsylvania enrollment
338 clinicians in this Medicare group

NPI 1639158488 (814) 946-1655

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 10

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.

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.

83 services43 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.

43 services38 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.

39 services35 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

27 services23 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.

23 services23 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390039

Location225 South Center AvenueSomerset, PA 15501 · Somerset County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390117

Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County

Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA

OwnershipProprietary

CMS Certification Number391317

Location290 Haida AvenueHastings, PA 16646 · Cambria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

BLAIR MEDICAL ASSOCIATES

Family Medicine

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 949-7621

THEODORE BELIS

Urology

1414 9TH AVE
ALTOONA, PA 16602

Blair County (814) 946-1655

BLAIR MEDICAL ASSOCIATES

Internal Medicine

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

RAPHAEL VOLTZ

Physician Assistant

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

NATASHA D. MCCARTNEY

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

MICHAEL L HUMPHREY D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

BLAIR MEDICAL ASSOCIATES

Podiatrist (Foot & Ankle Surgery)

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

JONATHAN HOLTZ

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

1414 9TH AVE
ALTOONA, PA 16602

Blair County (814) 946-1655

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 Sumit Sohal's NPI number?

The NPI number for Sumit Sohal is 1831610302. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Sumit Sohal located?

Sumit Sohal practices at 1414 9th Ave, Altoona, PA 16602. The listed phone number is (814) 949-6149.

What is Sumit Sohal's specialty?

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

Is Sumit Sohal enrolled in Medicare?

Yes. Sumit Sohal 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 organization bills Medicare for Sumit Sohal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumit Sohal reassigns Medicare benefits to Upmc Altoona Regional Health Services, Inc (Altoona, PA). The 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 Sumit Sohal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sumit Sohal affiliated with any hospitals?

According to CMS data, Sumit Sohal is affiliated with Upmc Somerset, Upmc Altoona, Upmc Bedford Memorial, Upmc Presbyterian Shadyside and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Sumit Sohal was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.