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SUNITA MALL MD
NPI 1962455634
Internal Medicine in Dayton, OH

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
405 W GRAND AVE, DAYTON, OH 45405(937) 723-3276(937) 723-3277 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunita Mall Md NPPES

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

SUNITA MALL MD (NPI 1962455634) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35083683M) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1962455634
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUNITA MALLCredential: MD
Location Address405 W GRAND AVEDayton, OH 45405-7538
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 723-3276
Fax(937) 723-3277
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1962455634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35083683M
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.
405 W GRAND AVE, Dayton, OH 45405
Open in Google Maps ↗

Secondary Practice Location 1

Location 1904 Scioto StUrbana, OH 43078-2226 · Phone (937) 653-5231 · Fax (937) 563-7551

Other Identifiers 1

Medicaid2489981OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Sunita Mall 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 ID6507848728
PECOS Enrollment IDI20040602000952
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

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 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

LARA MARTINEZ
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3245
ANDREW JORDAN KRISTUFEK DO
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
DR. JASON DWIGHT MCINTOSH D.O.
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
WHITNEY J CRYE D.O.
Obstetrics & Gynecology
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3567
SARAH BLESCH
Nurse Anesthetist, Certified Registered
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3200
ALEXANDRA D BREZOVEC
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
RONALD TRAN DO
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3200
DR. CHARLES OSBORNE DUNCAN II DO
Internal Medicine
405 W GRAND AVE, C/O MEDICAL EDUCATION
DAYTON, OH 45405
Montgomery County (937) 723-3248

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 Sunita Mall's NPI number?

The NPI number for Sunita Mall is 1962455634. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Sunita Mall located?

Sunita Mall practices at 405 W Grand Ave, Dayton, OH 45405. The listed phone number is (937) 723-3276.

What is Sunita Mall's specialty?

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

Is Sunita Mall enrolled in Medicare?

Yes. Sunita Mall 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 Sunita Mall accept?

Health plans from CareSource and Oscar Health Insurance list Sunita Mall 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 Sunita Mall affiliated with any hospitals?

According to CMS data, Sunita Mall is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Sunita Mall was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.