1. Home
  2. Directory
  3. Ohio
  4. Dublin
  5. Otolaryngology
  6. NPI Profile

DR. SUMIT BAPNA MD
NPI 1841415049
Otolaryngology in Dublin, OH

Active since April 16, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 36D2315409 · Waiver
6325 EMERALD PKWY STE 1B, DUBLIN, OH 43016(614) 876-6673(614) 876-8674 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2021, Feb 25, 2020 (2 updates tracked since 2020).

About Dr. Sumit Bapna Md NPPES

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

DR. SUMIT BAPNA MD (NPI 1841415049) is an individual otolaryngology provider in Dublin, Ohio, licensed in Ohio (35.088221) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 11, 2026, and maintains a secondary practice location in Dublin.

NPPES Registry Identity

NPI1841415049
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SUMIT BAPNACredential: MD
Location Address6325 EMERALD PKWY STE 1BDublin, OH 43016-3241
Mailing Address6325 Emerald Pkwy, Ste 1bDublin, OH 43016-3241 · (614) 876-6673 · Fax (614) 876-8674
Phone(614) 876-6673
Fax(614) 876-8674
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2003
Enumeration DateApril 16, 2007
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1841415049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 35.088221
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 35088221 (OH)
6325 EMERALD PKWY STE 1B, Dublin, OH 43016
Open in Google Maps ↗

Secondary Practice Location 1

Location 15378 Avery RdDublin, OH 43016-6933 · Phone (614) 876-6673 · Fax (614) 876-8674

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, UnitedHealthcare.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. Sumit Bapna 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 ID7214005164
PECOS Enrollment IDI20090708000004
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2315409

Sumit Bapna Facial Plastics · Dublin, OH
Active · expires Dec 11, 2026
CLIA Number36D2315409
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorSumit Bapna
Laboratory Phone(614) 876-6673
Laboratory LocationSumit Bapna Facial Plastics6325 Emerald Pkwy, Suite 1B, Dublin, OH 43016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43016 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

RICHARD ORLANDO DAVILA M.D.
Otolaryngology (Facial Plastic Surgery)
6325 EMERALD PKWY STE 1B
DUBLIN, OH 43016
Franklin County (614) 876-6673

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 Bapna's NPI number?

The NPI number for Sumit Bapna is 1841415049. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Sumit Bapna located?

Sumit Bapna practices at 6325 Emerald Pkwy Ste 1B, Dublin, OH 43016. The listed phone number is (614) 876-6673.

What is Sumit Bapna's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sumit Bapna enrolled in Medicare?

Yes. Sumit Bapna 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.

Does Sumit Bapna hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2315409) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sumit Bapna accept?

Health plans from MedMutual and UnitedHealthcare list Sumit Bapna 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 Sumit Bapna was last updated on March 4, 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.