Individual provider Active NPI

Sumit Duggal

  • Cardiovascular Disease Physician
  • Frederick, MD
National Provider Identifier
1386806784
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M85207 Issued in MD
Practice address
1050 Key Pkwy Ste 102
Frederick, MD 21702-4496
Phone
(301) 558-3839
Fax
(844) 689-4146
NPI assigned
Jun 26, 2008
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M85207 MD Primary

Addresses

Primary practice location

1050 Key Pkwy Ste 102
Frederick, MD 21702-4496

Mailing address

1050 Key Pkwy Ste 102
Frederick, MD 21702-4496
Phone (301) 558-3839

Other identifiers 2

IdentifierTypeStateIssuer
PO1720959OtherPARAILROAD MEDICARE
103048459MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180824000926 MD Practitioner - Cardiovascular Disease (Cardiology) 5193874857 Reassigns benefits to 3 organizations
I20260122000729 VA Practitioner - Cardiovascular Disease (Cardiology) 5193874857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Cardiovascular Specialists of Frederick, LLCGroup PAC ID 4082667761, 11 clinicians
Frederick Health Hospital IncGroup PAC ID 0446149256, 127 clinicians

Practice addresses (Care Compare)

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

180 Thomas Johnson Dr
Suite 202
Frederick, MD 21702-4550
Phone (301) 631-6877

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
88.82
Promoting interoperability
100
Improvement activities
40
Cost
80.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M85207MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Cardiovascular Disease CurrentSince Jan 27, 2026 Accepting new patients
Frederick Health Hospital Inc CurrentSince Aug 15, 2018 Accepting new patients
Augusta Health Care, Inc CurrentSince Jan 5, 2026 Accepting new patients
Augusta Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Augusta Health Care, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Augusta Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Frederick Health Hospital Inc CurrentSince Aug 15, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 27, 2026 Accepting new patients
Cardiovascular Specialists of Frederick, LLC CurrentSince Aug 27, 2018 Accepting new patients
Summit Cardiovascular Care, LLC Cardiovascular Disease Current Accepting new patients
Frederick Health Hospital Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

180 Thomas Johnson Dr
Ste 202
Frederick, MD 21702
Phone (301) 631-6877

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

78 Medical Center Dr
Fl 3
Fishersville, VA 22939

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sumit.duggal.p18@direct.csof.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1386806784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 KEY PKWY STE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024496",
            "telephone_number": "301-558-3839",
            "fax_number": "844-689-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KEY PKWY STE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024496",
            "telephone_number": "301-558-3839",
            "fax_number": "844-689-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAL",
        "first_name": "SUMIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "M85207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1720959",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103048459",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.