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DR. SUMIT BHUTANI MD
NPI 1932347820
Internal Medicine - Infectious Disease in Westminster, MD

Active since January 30, 2009PECOS EnrolledAccepts Medicare Assignment
83.89/100
CMS Quality Rating
826 WASHINGTON RD, SUITE 204 A, WESTMINSTER, MD 21157(856) 520-6496 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sumit Bhutani Md NPPES

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

DR. SUMIT BHUTANI MD (NPI 1932347820) is an individual infectious disease provider in Westminster, Maryland, licensed in Maryland (D72536) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1932347820
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SUMIT BHUTANICredential: MD
Location Address826 WASHINGTON RD, SUITE 204 AWestminster, MD 21157-5750
Mailing Address826 Washington Rd, Suite 204 AWestminster, MD 21157-5750 · (856) 520-6496
Phone(856) 520-6496
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 30, 2009
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1932347820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MD · D72536
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA08641200 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
826 WASHINGTON RD, Westminster, MD 21157
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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 Bhutani 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 ID5395915615
PECOS Enrollment IDI20110824000393
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 7

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.
980 services399 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.
436 services385 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.
116 services112 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.
93 services64 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.
66 services18 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 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210033
Location200 Memorial AvenueWestminster, MD 21157 · Carroll County
Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21157 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

83.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality46.38
Promoting Interoperability89
Improvement Activities40
Cost76.67

Reported Quality Measures

Advance Care Plan
0%1,558 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%49 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%133 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
8%3,225 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%217 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%339 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
36%111 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 107 patients
Patients totalRate: 1% · 107 patients
1%107 patients4/55-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 20

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

MEDSTAR MEDICAL GROUP II LLC
General Practice
826 WASHINGTON RD
WESTMINSTER, MD 21157
Carroll County (410) 848-2444
CARROLL ENDOCRINOLOGY ASSOCIATES, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
826 WASHINGTON RD, SUITE 121
WESTMINSTER, MD 21157
Carroll County (410) 751-2510
VEIN SPECIALISTS, LLC
Clinic/Center (Ambulatory Surgical)
826 WASHINGTON RD, SUITE 209
WESTMINSTER, MD 21157
Carroll County (410) 848-8422
MS. MARYAM JIRSARAI PA-C
Physician Assistant
826 WASHINGTON RD, STE 122
WESTMINSTER, MD 21157
Carroll County (410) 857-8333
POOLE ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
826 WASHINGTON RD, SUITE 218
WESTMINSTER, MD 21157
Carroll County (410) 871-9004
DR. CYNTHIA HEEKYUNG JUN OD
Optometrist
826 WASHINGTON RD, STE 200
WESTMINSTER, MD 21157
Carroll County (410) 876-3333
DR. NORMAN IRA GOLDSTEIN MD
Internal Medicine
826 WASHINGTON RD, SUITE 120
WESTMINSTER, MD 21157
Carroll County (410) 848-6000
ROBERT GORDON M.D.
Specialist
826 WASHINGTON RD, SUITE 209
WESTMINSTER, MD 21157
Carroll County (410) 840-8203

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 Bhutani's NPI number?

The NPI number for Sumit Bhutani is 1932347820. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Sumit Bhutani located?

Sumit Bhutani practices at 826 Washington Rd Suite 204 A, Westminster, MD 21157. The listed phone number is (856) 520-6496.

What is Sumit Bhutani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sumit Bhutani enrolled in Medicare?

Yes. Sumit Bhutani 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.

Is Sumit Bhutani affiliated with any hospitals?

According to CMS data, Sumit Bhutani is affiliated with Frederick Health Hospital, Carroll Hospital Center and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Sumit Bhutani was last updated on March 21, 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.