Sumit Madan, MD
NPI 1972766756 · Hematology & Oncology Physician · Gilbert, AZ
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumit Madan, MD is a Hematology & Oncology Physician provider in Gilbert, AZ (NPI 1972766756).
Provider details
- NPI number
- 1972766756
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- Q1211 (TX)
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
682 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 299 | $139 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 133 | $76 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 95 | $94 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 64 | $114 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 29 | $175 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Valacyclovir Hclbrand: Valacyclovir | 267 | 64 |
| Lenalidomide | 103 | 30 |
| Lenalidomidebrand: Revlimid | 84 | 26 |
| Pomalidomidebrand: Pomalyst | 76 | 18 |
| Dexamethasone | 73 | 31 |
| Pantoprazole Sodium | 57 | 16 |
| Ixazomib Citratebrand: Ninlaro | 33 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22,828 across 18 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
- 2008-07-02
- Last updated
- 2018-08-23
Frequently asked questions
- What is Sumit Madan's NPI number?
- Sumit Madan's National Provider Identifier (NPI) is 1972766756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumit Madan's specialty?
- Sumit Madan is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Sumit Madan located?
- Sumit Madan's practice location on file with NPPES is Banner MD Anderson Cancer Center, Gilbert, AZ 85234.
- What is Sumit Madan's phone number?
- The practice phone number listed in the NPPES registry for Sumit Madan is (480) 256-6444.
- Does Sumit Madan accept Medicare?
- Sumit Madan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumit Madan's NPI active?
- Yes — Sumit Madan's NPI (1972766756) is active in the NPPES registry as of the last update on 2018-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.