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SUMEET BHATIA MD
NPI 1922079474
Internal Medicine - Medical Oncology in Indianapolis, IN

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
7979 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46250(317) 621-4300(317) 621-4301 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Sep 28, 2020, Feb 7, 2017 and 2 more (5 updates tracked since 2016).

About Sumeet Bhatia Md NPPES

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

SUMEET BHATIA MD (NPI 1922079474) is an individual medical oncology provider in Indianapolis, Indiana, licensed in Indiana (01050303A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1922079474
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameSUMEET BHATIACredential: MD
Location Address7979 N SHADELAND AVE, STE 200Indianapolis, IN 46250-2042
Mailing Address6626 E 75th St, Ste 500Indianapolis, IN 46250-2805 · (317) 621-4300 · Fax (317) 621-4301
Phone(317) 621-4300
Fax(317) 621-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 31, 2006
Last NPPES UpdateSeptember 6, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1922079474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in IN · 01050303A
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 01050303A (IN)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 01050303A (IN)
7979 N SHADELAND AVE, Indianapolis, IN 46250
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Other Identifiers 7

Other3376558IN · Cigna
OtherP00452305IN · Medicare Rr
Medicaid200282430IN
Other7829142IN · Aetna
Other000000475173IN · Anthem
Other295845IN · Wellcare
OtherP01751207IN · Rr Medicare

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

Sumeet Bhatia 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 ID9234128786
PECOS Enrollment IDI20040510000798
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 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.

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.
80 services80 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.
77 services68 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.
51 services34 patients
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.
46 services29 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.
34 services34 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.
33 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$3.32 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,600 services$0.26 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims1,126 services$0.68 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$18.97 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.

DR. KATHERINE ANN KUNKEL PHARMD
Pharmacist (Ambulatory Care)
7979 N SHADELAND AVE
INDIANAPOLIS, IN 46250
Marion County (317) 621-3801
PABLO M BEDANO MD
Internal Medicine (Medical Oncology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
RADHIKA V WALLING M.D.
Internal Medicine (Medical Oncology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
LINDSEY M ADDINGTON NP
Nurse Practitioner (Gerontology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
BILAL K SIDDIQUI MD
Internal Medicine (Hematology & Oncology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
MRS. EMILY CLAIRE BURT CASE NP
Nurse Practitioner (Gerontology)
7979 N SHADELAND AVE
INDIANAPOLIS, IN 46250
Marion County (317) 621-4333
KRISTI K ORBAUGH NP
Nurse Practitioner
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
MRS. JENNA R PULFER NP
Nurse Practitioner (Family)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300

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 Sumeet Bhatia's NPI number?

The NPI number for Sumeet Bhatia is 1922079474. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Sumeet Bhatia located?

Sumeet Bhatia practices at 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250. The listed phone number is (317) 621-4300.

What is Sumeet Bhatia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Sumeet Bhatia enrolled in Medicare?

Yes. Sumeet Bhatia 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 Sumeet Bhatia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Sumeet Bhatia 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 Sumeet Bhatia affiliated with any hospitals?

According to CMS data, Sumeet Bhatia is affiliated with Community Hospital East, Community Hospital Of Anderson And Madison County and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Sumeet Bhatia was last updated on September 6, 2023. 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.