Nishanth Sukumaran, MD
NPI 1538328844 · Hematology & Oncology Physician · Petersburg, VA
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nishanth Sukumaran, MD is a Hematology & Oncology Physician provider in Petersburg, VA (NPI 1538328844).
Provider details
- NPI number
- 1538328844
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD434764 (PA)
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
18 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
2,500 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 595 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 381 | $87 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 301 | $14 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 234 | $123 |
| 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 | 211 | $16 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 133 | 24 |
| Letrozole | 108 | 30 |
| Anastrozole | 97 | 24 |
| Lenalidomidebrand: Revlimid | 90 | 12 |
| Dexamethasone | 76 | 32 |
| Rivaroxabanbrand: Xarelto | 61 | 12 |
| Exemestane | 52 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,997 across 89 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)
- 263 Medical Park BlvdPetersburg, VA 23805-0002Phone: (804) 431-1100Fax: (804) 862-1094
- 4730 Puddledock Rd Ste 100Prince George, VA 23875-1274Phone: (804) 452-3850Fax: (804) 541-7585
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2024-02-22
- Certified
- 2024-02-20
Frequently asked questions
- What is Nishanth Sukumaran's NPI number?
- Nishanth Sukumaran's National Provider Identifier (NPI) is 1538328844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nishanth Sukumaran's specialty?
- Nishanth Sukumaran is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Nishanth Sukumaran located?
- Nishanth Sukumaran's practice location on file with NPPES is 210 Medical Park Blvd, Petersburg, VA 23805-9338.
- What is Nishanth Sukumaran's phone number?
- The practice phone number listed in the NPPES registry for Nishanth Sukumaran is (804) 431-1100.
- Does Nishanth Sukumaran accept Medicare?
- Nishanth Sukumaran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nishanth Sukumaran's NPI active?
- Yes — Nishanth Sukumaran's NPI (1538328844) is active in the NPPES registry as of the last update on 2024-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.