Sumeet Vaikunth, M.D.
NPI 1588924286 · Adult Congenital Heart Disease Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Adult Congenital Heart Disease (achd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumeet Vaikunth, M.D. is a Adult Congenital Heart Disease Physician provider in Philadelphia, PA (NPI 1588924286).
Provider details
- NPI number
- 1588924286
- Entity type
- Individual
- Primary specialty
- Adult Congenital Heart Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD474833 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
306 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Ultrasound of Heart for Congenital Defect93303 | 58 | $61 |
| Ultrasound of Heart Blood Flow, Valves and Chambers93320 | 58 | $18 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate and Valve Function93325 | 58 | $3 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 42 | $8 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 32 | $147 |
| Prolonged Office Or Other Outpatient Evaluation and Management Service(s) Beyond the Maximum Required Time of the Primary Procedure Which Has Been Selected Using Total Time on the Date of the Primary Service; Each Additional 15 Minutes By the Physician Or |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Sacubitril/Valsartanbrand: Entresto | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-29
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Frequently asked questions
- What is Sumeet Vaikunth's NPI number?
- Sumeet Vaikunth's National Provider Identifier (NPI) is 1588924286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumeet Vaikunth's specialty?
- Sumeet Vaikunth is listed in the NPPES registry with a primary specialty of Adult Congenital Heart Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sumeet Vaikunth located?
- Sumeet Vaikunth's practice location on file with NPPES is 3400 Spruce St, Philadelphia, PA 19104-4238.
- What is Sumeet Vaikunth's phone number?
- The practice phone number listed in the NPPES registry for Sumeet Vaikunth is (215) 662-7355.
- Does Sumeet Vaikunth accept Medicare?
- Sumeet Vaikunth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumeet Vaikunth's NPI active?
- Yes — Sumeet Vaikunth's NPI (1588924286) is active in the NPPES registry as of the last update on 2021-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.