Sumana Setty, MD
NPI 1710417563 · Family Medicine Physician · Boston, MA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumana Setty, MD is a Family Medicine Physician provider in Boston, MA (NPI 1710417563).
Provider details
- NPI number
- 1710417563
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 285675 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
157 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 84 | $82 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 17 | $86 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $69 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 15 | $102 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 13 | $121 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 39 | 11 |
| Atorvastatin Calcium | 30 | 13 |
| Lisinopril | 30 | 11 |
| Atenolol | 22 | — |
| Famotidine | 19 | — |
| Metformin Hcl | 18 | — |
| Dulaglutidebrand: Trulicity | 13 | — |
Practice location
Mailing address
Additional practice locations (1)
- 34 Haverhill StLawrence, MA 01841-2884Phone: (508) 851-0467
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Frequently asked questions
- What is Sumana Setty's NPI number?
- Sumana Setty's National Provider Identifier (NPI) is 1710417563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumana Setty's specialty?
- Sumana Setty is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sumana Setty located?
- Sumana Setty's practice location on file with NPPES is 1 Boston Medical Center Place, Boston, MA 02118-2908.
- What is Sumana Setty's phone number?
- The practice phone number listed in the NPPES registry for Sumana Setty is (617) 414-4465.
- Does Sumana Setty accept Medicare?
- Sumana Setty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumana Setty's NPI active?
- Yes — Sumana Setty's NPI (1710417563) is active in the NPPES registry as of the last update on 2023-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.