Active NPI
Sumit Isharwal, MD
- Urology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME1644485
- Practice address
- 1301 Palm Ave Ste 500
Jacksonville, FL 32207-8432 - Phone
- (904) 202-7300
- Fax
- (904) 202-2754
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 288302 | NY | |
| Urology Physician | 208800000X | 0101264513 | VA | |
| Urology Physician | 208800000X | ME1644485 | FL | Primary |
Addresses
Primary practice location
1301 Palm Ave Ste 500
Jacksonville, FL 32207-8432
Mailing address
PO Box 746654
Atlanta, GA 30374-6654
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Palm Ave
Suite 500
Jacksonville, FL 32207-8432
Phone (904) 202-7300
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Baptist Medical Center - Nassau
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 73.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME1644485 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist MD Anderson Cancer Physicians Inc | Urology | Current | Accepting new patients |
| Baptist MD Anderson Cancer Physicians Inc | Urology | Current | Accepting new patients |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Bastion Medical Practice of New Jersey PC | Urology | Past | Accepting new patients |
Locations
1301 Palm Ave
Ste 500
Jacksonville, FL 32207
14546 Old Saint Augustine Rd
Ste 105
Jacksonville, FL 32258
Phone (904) 271-6890
500 Ray C Hunt Dr
Fl 3
Charlottesville, VA 22903
Phone (434) 924-2224
500 Ray C Hunt Dr
Fl 2
Charlottesville, VA 22903
Phone (434) 243-4520
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
Interoperability endpoints
- sisharwal205715@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1538593124
Urology
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Urology Physician
- Jacksonville, FL
- NPI 1609644657
-
- Urology Physician
- Farmington, CT
- NPI 1598529802
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1538455191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746654",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746654",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PALM AVE STE 500",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078432",
"telephone_number": "904-202-7300",
"fax_number": "904-202-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHARWAL",
"first_name": "SUMIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "288302",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101264513",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME1644485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.