Sumit Sitole, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D67988 Issued in MD

Practice address

55 Madison St
355
Denver, CO 80206-5419

Phone

(303) 377-2020

Fax

(303) 388-0606

NPI assigned

Oct 17, 2008

Last updated

Sep 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Tufts University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denver OculoplasticsGroup PAC ID 4082941513, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.55 of 100Reported as individual

Quality

65.1

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20225/brand/1/csg/1/fhir/r4
• Direct secure messaging: sumit.sitole.1@20225.direct.athenahealth.com
• Direct secure messaging: sumit.sitole.p1@direct.inlandeyespecialists.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Denver Oculoplastics

  • Ophthalmologic Surgery Clinic/Center
  • Denver, CO
  • NPI 1790340537
  Medicare reassignment Care Compare group NPD Authorized official
• Associated Eye Care Services, LLC

  • Optometrist
  • Parker, CO
  • NPI 1477690394
  NPD (past)
• Katzen Medical Associates, PC

  dba National Retina Institute

  • Ophthalmology Physician
  • Lutherville, MD
  • NPI 1326052614
  NPD (past)
• Sinai Hospital of Baltimore Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1437174059

  Ophthalmology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1205088507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 SKYTRAIL DR",
            "city": "BOW MAR",
            "state": "CO",
            "postal_code": "801231566",
            "telephone_number": "617-320-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON ST",
            "address_2": "355",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065419",
            "telephone_number": "303-377-2020",
            "fax_number": "303-388-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITOLE",
        "first_name": "SUMIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D67988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "49102",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84034785",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sisters of Charity of Leavenworth Health System Inc (Intermountain Specialty Pharmacy - Denver)
• Sisters of St. Francis (Marycrest Assisted Living)
• Sara Sisty
• Sisu Roots PLLC
• Taija Sites, LCSW
• Janelle Sitton, RN, RD
• Sally Situ, PHARMD
• Natalie Leila Sivak, M.D.
• Jacob Sivinski, MA
• SJ East Campus ASC, LLC (Denver surgery Center)

• Ophthalmology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.