Sumit Duggal
NPI 1386806784 · Cardiovascular Disease Physician · Frederick, MD
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumit Duggal is a Cardiovascular Disease Physician provider in Frederick, MD (NPI 1386806784).
Provider details
- NPI number
- 1386806784
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- M85207 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
6,643 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 1,415 | $15 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 1,282 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,006 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 419 | $92 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 394 | $201 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 50 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 735 | 236 |
| Atorvastatin Calcium | 635 | 201 |
| Apixabanbrand: Eliquis | 438 | 116 |
| Rosuvastatin Calcium | 309 | 104 |
| Lisinopril | 304 | 99 |
| Amlodipine Besylate | 275 | 92 |
| Carvedilol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$38 across 2 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
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Frequently asked questions
- What is Sumit Duggal's NPI number?
- Sumit Duggal's National Provider Identifier (NPI) is 1386806784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumit Duggal's specialty?
- Sumit Duggal is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sumit Duggal located?
- Sumit Duggal's practice location on file with NPPES is 1050 Key Pkwy Ste 102, Frederick, MD 21702-4496.
- What is Sumit Duggal's phone number?
- The practice phone number listed in the NPPES registry for Sumit Duggal is (301) 558-3839.
- Does Sumit Duggal accept Medicare?
- Sumit Duggal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumit Duggal's NPI active?
- Yes — Sumit Duggal's NPI (1386806784) is active in the NPPES registry as of the last update on 2026-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.