Active NPI 1780942649 Individual Practitioner Female Practitioner

Dr. Dhivya Sugumar , MD

Internal Medicine • Gilbert, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dhivya Sugumar, MD is a certified Internal Medicine practicing in Gilbert, AZ. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Sugumar delivers high-quality medical care to the local community at 2940 E. BANNER GATEWAY DRIVE.

Dr. Sugumar is affiliated with Banner Cancer Center Specialists Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2940 E. Banner Gateway Drive
Suite 450

Gilbert, AZ 85234

Telephone 4802566444

Fax 4802563359

Associated Practice Facility / Clinic

🏢 Banner Gateway Medical Center Facility NPI 1104103555

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gilbert, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -2.9 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Gilbert, AZ (2967 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sugumar (19 Years) 19 Yrs

Gilbert Specialty Average (21.9 Years) 21.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	70	70	$402.83	$174.88
99213 Established patient office or other outpatient visit, typically 15 minutes	66	52	$141.80	$62.93
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$224.00	$88.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$218.05	$93.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$316.00	$124.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	86	86	$374.52	$176.90
99213 Established patient office or other outpatient visit, typically 15 minutes	63	53	$111.57	$59.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	44	$162.70	$95.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$250.25	$140.07
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$100.00	$94.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$365.00	$178.74
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$95.60	$57.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$271.57	$132.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$179.50	$96.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$235.63	$142.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$268.34	$135.19
99442 Telephone medical discussion with physician, 11-20 minutes	27	22	$67.00	$67.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$144.36	$83.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$124.53	$34.21
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$100.00	$99.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$267.23	$128.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$160.42	$78.51
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$105.48	$51.16
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$67.00	$51.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$144.00	$75.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$240.50	$110.55
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$100.00	$78.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$309.67	$125.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	34	$260.90	$104.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$408.74	$161.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$163.29	$75.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	185	$131.59	$92.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg	68	17	$1.85	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	65	64	$89.00	$61.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	27	$46.00	$18.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$230.00	$149.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$216.00	$107.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$155.00	$77.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$320.00	$159.12
J1040 Injection, methylprednisolone acetate, 80 mg	17	17	$33.04	$12.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$112.00	$49.47
G0009 Administration of pneumococcal vaccine	11	11	$45.00	$18.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	720	11	$21.00	$16.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	388	205	$131.00	$95.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$230.00	$151.21
99213 Established patient office or other outpatient visit, typically 15 minutes	105	74	$89.00	$64.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg	96	22	$1.85	$0.12
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	88	88	$320.00	$153.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	47	$46.00	$22.82
36415 Insertion of needle into vein for collection of blood sample	61	57	$6.00	$2.94
G0009 Administration of pneumococcal vaccine	61	61	$45.00	$22.70
90670 Pneumococcal vaccine for injection into muscle	35	35	$190.00	$185.20
J1040 Injection, methylprednisolone acetate, 80 mg	30	27	$33.04	$11.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$109.00	$96.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$216.00	$106.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$178.00	$131.09
G0008 Administration of influenza virus vaccine	15	15	$20.00	$19.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$112.00	$49.22

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AR E-9801

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Banner Cancer Center Specialists Llc

2946 E Banner Gateway Dr, Gilbert, AZ 852342165

Phone: 4802566444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Ahmed Al-Niaimi , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1003958539

Doctor of Medicine (M.D.)

Dr. Soyoung Park , MD

Internal Medicine - Hematology & Oncology

NPI 1013279256

Doctor of Medicine (M.D.)

Dr. Michelle Locke , DNP, AGNP-C, RNFA

Nurse Practitioner - Adult Health

NPI 1023309614

Doctor of Nursing Practice, Adult-Gerontology Nurse Practitioner (Certified), RNFA

Patrick Allred , MS, PA-C

Physician Assistant - Medical

NPI 1023559184

Master of Science, Physician Assistant (Certified)

Dr. Ala Eddin Sagar , MD

Internal Medicine - Pulmonary Disease

NPI 1033478268

Doctor of Medicine (M.D.)

Dr. Akshaar Brahmbhatt , MD

Radiology - Vascular & Interventional Radiology

NPI 1033564356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 27, 2018

Registered at 2940 E. BANNER GATEWAY DRIVE, SUITE 450, GILBERT, AZ 85234 (Tel: 4802566444)

📍

Updated Business Mailing Address September 27, 2018

Registered at 2940 E. BANNER GATEWAY DRIVE, SUITE 450, GILBERT, AZ 85234 (Tel: 4802566444)

👤

Provider Name / Credentials Updated September 27, 2018

Recorded as DHIVYA SUGUMAR, MD

✅

NPI Profile Active September 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 20, 2016

Registered at 4802 EAST JOHNSON AVE, JONESBORO, AR 72401 (Tel: 8709368000)

📍

Updated Business Mailing Address September 20, 2016

Registered at PO BOX 1960, JONESBORO, AR 724031960 (Tel: 8709368000)

👤

Provider Name / Credentials Updated September 20, 2016

Recorded as DHIVYA SUGUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2016

Internal Medicine (License #E-9801 in AR)

🟢

Initial NPI Registration & Enumeration April 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780942649

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 30, 2012

Last Update: September 27, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2940 E. Banner Gateway Drive, Suite 450

Gilbert, AZ 85234

Phone: 4802566444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.