Sumeet Thareja, MD
NPI 1609165794 · Specialist · Melbourne, FL
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumeet Thareja, MD is a Specialist provider in Melbourne, FL (NPI 1609165794).
Provider details
- NPI number
- 1609165794
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,193 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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 370 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 355 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 269 | $124 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 176 | $48 |
| Application of Skin Substitute Graft to Wound of Trunk, Arms, Or Legs, 25.0 Sq Cm Or Less of Wound 100.0 Sq Cm Or Less15271 | 148 | $119 |
| Biopsy of Related Skin Growth, First Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 157 | 79 |
| Triamcinolone Acetonide | 155 | 102 |
| Clobetasol Propionate | 100 | 54 |
| Mupirocin | 71 | 43 |
| Fluorouracil | 39 | 31 |
| Hydrocortisone | 38 | 27 |
| Doxycycline Hyclate | 37 | 26 |
| Metronidazole | 33 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$165 across 9 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
- 2011-03-29
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Frequently asked questions
- What is Sumeet Thareja's NPI number?
- Sumeet Thareja's National Provider Identifier (NPI) is 1609165794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumeet Thareja's specialty?
- Sumeet Thareja is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Sumeet Thareja located?
- Sumeet Thareja's practice location on file with NPPES is 675 S Babcock Street, Melbourne, FL 32901-1459.
- What is Sumeet Thareja's phone number?
- The practice phone number listed in the NPPES registry for Sumeet Thareja is (321) 951-1010.
- Does Sumeet Thareja accept Medicare?
- Sumeet Thareja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumeet Thareja's NPI active?
- Yes — Sumeet Thareja's NPI (1609165794) is active in the NPPES registry as of the last update on 2023-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.