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SUMEET NARESH CHAVAN MD
NPI 1942499033
Internal Medicine in Shavano Park, TX

Active since October 15, 2007PECOS EnrolledAccepts Medicare Assignment
4085 DE ZAVALA RD STE 200, SHAVANO PARK, TX 78249(210) 558-6288(810) 720-3970 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, May 10, 2017 (2 updates tracked since 2017).

About Sumeet Naresh Chavan Md NPPES

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

SUMEET NARESH CHAVAN MD (NPI 1942499033) is an individual internal medicine provider in Shavano Park, Texas, licensed in Texas (N7067) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1942499033
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUMEET NARESH CHAVANCredential: MD
Location Address4085 DE ZAVALA RD STE 200Shavano Park, TX 78249-2084
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1591
Phone(210) 558-6288
Fax(810) 720-3970
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 15, 2007
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1942499033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N7067
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4085 DE ZAVALA RD STE 200, Shavano Park, TX 78249
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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 Naresh Chavan 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 ID4587859673
PECOS Enrollment IDI20101115001050
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 5

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.

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.
620 services590 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
496 services473 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
158 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services116 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78249 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
68%448 patients3/55-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 10

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

RAVJOT SINGH SARAO MD
Family Medicine
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288
CARLOS JAVIER DIAZ VELEZ MD
Internal Medicine
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288
KAYLA RENEE ROSS FNP-C
Nurse Practitioner (Family)
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288
DIAZ HOSPITALIST GROUP PLLC
Internal Medicine
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288
BASSAM ALKAMACHI MD
Pathology (Anatomic Pathology & Clinical Pathology)
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288
STEPHEN GILL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288
JUSTIN E. CARON MD
Pathology (Anatomic Pathology & Clinical Pathology)
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288
AMY MICHELLE OLVERA ACAGNP
Nurse Practitioner (Acute Care)
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249
Bexar County (210) 558-6288

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 Chavan's NPI number?

The NPI number for Sumeet Chavan is 1942499033. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Sumeet Chavan located?

Sumeet Chavan practices at 4085 De Zavala Rd Ste 200, Shavano Park, TX 78249. The listed phone number is (210) 558-6288.

What is Sumeet Chavan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sumeet Chavan enrolled in Medicare?

Yes. Sumeet Chavan 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 Chavan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Sumeet Chavan 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 Chavan affiliated with any hospitals?

According to CMS data, Sumeet Chavan is affiliated with Peterson Regional Medical Center, Methodist Hospital, Hill Country Memorial Hospital, Uvalde Memorial Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Sumeet Chavan was last updated on April 8, 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.