Sumit Patel, M.D.
NPI 1255695011 · Pulmonary Disease Physician · Chattanooga, TN
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumit Patel, M.D. is a Pulmonary Disease Physician provider in Chattanooga, TN (NPI 1255695011).
Provider details
- NPI number
- 1255695011
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 59404 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,841 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Test to Measure Expiratory Airflow and Volume94010 | 433 | $25 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 244 | $118 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 177 | $15 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 115 | $110 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 98 | $8 |
| Test to Measure Expiratory Airflow and Volume |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 292 | 82 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 153 | 62 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 91 | 22 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 53 | 20 |
| Montelukast Sodium | 45 | 17 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 43 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,039 across 46 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 462 Grider StDk Miller Building 1st FloorBuffalo, NY 14215-3021Phone: (716) 961-6955
- 462 Grider StDk Miller Building 1st FloorBuffalo, NY 14215-3021Phone: (716) 961-6955
Registry dates
- Enumerated
- 2012-06-26
- Last updated
- 2019-08-14
Frequently asked questions
- What is Sumit Patel's NPI number?
- Sumit Patel's National Provider Identifier (NPI) is 1255695011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumit Patel's specialty?
- Sumit Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sumit Patel located?
- Sumit Patel's practice location on file with NPPES is 725 Glenwood Dr Ste E500, Chattanooga, TN 37404.
- What is Sumit Patel's phone number?
- The practice phone number listed in the NPPES registry for Sumit Patel is (423) 495-2635.
- Does Sumit Patel accept Medicare?
- Sumit Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumit Patel's NPI active?
- Yes — Sumit Patel's NPI (1255695011) is active in the NPPES registry as of the last update on 2019-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.