Active NPI 1538455191 Individual Practitioner Male Practitioner

Dr. Sumit Isharwal , MD

Urology • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sumit Isharwal, MD is a certified Urology practicing in Jacksonville, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Isharwal delivers high-quality medical care to the local community at 1301 PALM AVE STE 500.

Dr. Isharwal is affiliated with Baptist Md Anderson Cancer Physicians Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, ultrasound scan of pelvic region through rectum. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 Palm Ave Ste 500

Jacksonville, FL 322078432

Telephone 9042027300

Fax 9042022754

Associated Practice Facility / Clinic

🏢 Baptist Md Anderson Cancer Physicians Inc Facility NPI 1609644657

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -6.4 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

64 Specialists

Practicing in Jacksonville, FL (1082 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Isharwal (20 Years) 20 Yrs

Jacksonville Specialty Average (26.4 Years) 26.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$238.00	$63.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$335.00	$91.55
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	14	12	$41.00	$16.13
76872 Ultrasound scan of pelvic region through rectum	13	13	$102.08	$31.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$417.00	$164.32
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$550.00	$76.37
55700 Biopsy of prostate gland	11	11	$625.00	$123.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$448.00	$176.70

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	176	122	$330.27	$95.34
52000 Diagnostic exam of bladder and urethra using an endoscope	45	32	$550.00	$78.80
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$232.05	$64.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$458.00	$132.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$455.54	$142.05
55700 Biopsy of prostate gland	25	25	$625.00	$127.28
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$100.00	$30.27
76872 Ultrasound scan of pelvic region through rectum	19	19	$121.00	$29.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$1587.50	$156.76
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	16	16	$2580.00	$326.96
55706 Needle stereotactic and image-guided biopsy of prostate gland	15	15	$944.00	$355.42
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	15	15	$7033.90	$1191.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$122.14	$49.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$387.00	$129.12

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	168	118	$299.59	$98.74
99213 Established patient office or other outpatient visit, typically 15 minutes	80	65	$205.43	$66.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$454.22	$130.99
55700 Biopsy of prostate gland	50	50	$625.00	$129.00
52000 Diagnostic exam of bladder and urethra using an endoscope	47	35	$550.00	$79.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	37	$404.19	$144.51
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	39	39	$100.00	$31.13
76872 Ultrasound scan of pelvic region through rectum	27	27	$121.00	$32.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$201.15	$71.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	15	$1587.50	$137.69
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	20	20	$7147.35	$1361.50
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	18	18	$2580.00	$315.24
74420 Imaging of urinary tract	18	16	$71.00	$24.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$296.31	$84.10
99441 Telephone medical discussion with physician, 5-10 minutes	13	12	$99.34	$35.92

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	107	85	$287.41	$99.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	53	$276.75	$100.21
52000 Diagnostic exam of bladder and urethra using an endoscope	51	38	$550.00	$80.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$430.72	$135.31
55700 Biopsy of prostate gland	48	48	$625.00	$130.27
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$200.84	$67.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	37	$100.00	$31.19
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$194.47	$67.85
74420 Imaging of urinary tract	25	21	$70.52	$25.14
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	15	$1481.67	$132.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$287.50	$81.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$381.14	$147.66
52240 Destruction and/or removal of large growth of bladder using an endoscope	18	13	$2263.00	$383.05
76872 Ultrasound scan of pelvic region through rectum	15	15	$121.00	$32.69

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	147	121	$265.65	$80.50
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$186.77	$51.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$406.38	$132.13
52000 Diagnostic exam of bladder and urethra using an endoscope	32	30	$550.00	$82.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$406.94	$131.39
55700 Biopsy of prostate gland	31	31	$625.00	$135.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	12	$191.57	$74.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	26	$100.00	$32.58
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	19	$1640.58	$155.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$279.00	$77.30
74420 Imaging of urinary tract	14	13	$66.00	$26.09
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$306.00	$104.39
76770 Complete ultrasound scan behind abdominal cavity	12	11	$97.00	$37.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$283.00	$77.53
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$2580.00	$344.20
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$6807.00	$1497.61

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	153	124	$260.17	$77.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$398.03	$128.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$397.33	$123.62
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$180.75	$50.74
52000 Diagnostic exam of bladder and urethra using an endoscope	38	33	$550.00	$82.24
55700 Biopsy of prostate gland	30	28	$625.00	$125.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$100.68	$39.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	20	$1520.54	$144.33
74420 Imaging of urinary tract	24	20	$51.00	$25.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$268.35	$75.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$349.36	$110.18
76872 Ultrasound scan of pelvic region through rectum	21	21	$121.00	$31.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$185.70	$70.02
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$294.21	$97.72
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$100.00	$32.11
76775 Limited ultrasound scan behind abdominal cavity	14	14	$88.00	$29.01
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$706.00	$154.04
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$6948.81	$1490.67
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$2580.00	$336.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$177.00	$49.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$396.00	$128.50
52000 Diagnostic exam of bladder and urethra using an endoscope	24	23	$550.00	$81.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$396.00	$128.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$267.13	$76.86
74420 Imaging of urinary tract	16	13	$46.00	$17.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$258.00	$78.06

Medical Specialties & State Licenses

CMS Verified: 2025-04-30

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME1644485

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License NY 288302

Urology

NUCC Taxonomy Code: 208800000X

State License VA 0101264513

Hospital & Practice Group Affiliations

Baptist Md Anderson Cancer Physicians Inc

1301 Palm Ave, Jacksonville, FL 322078432

Phone: 9042027300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. George Filosa , MD

Colon & Rectal Surgery

NPI 1013396647

Doctor of Medicine (M.D.)

Ryan Pafford , MS, MSPAS, PA-C

Physician Assistant

NPI 1013436252

Master of Science, MSPAS, Physician Assistant (Certified)

Victoria Grusauskas

Pharmacist - Oncology

NPI 1013838374

Dr. Mohammed Alqawasma , MD

Internal Medicine - Pulmonary Disease

NPI 1033671276

Doctor of Medicine (M.D.)

April Reagan , FNP-C, CNM

Nurse Practitioner

NPI 1043330475

Family Nurse Practitioner (Certified), Certified Nurse Midwife

Dr. Ina Jani , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1043600679

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location August 06, 2024

Registered at 1301 PALM AVE STE 500, JACKSONVILLE, FL 322078432 (Tel: 9042027300)

📍

Updated Business Mailing Address August 06, 2024

Registered at PO BOX 746654, ATLANTA, GA 303746654 (Tel: 9042022092)

📍

Updated Practice Location August 03, 2018

Registered at 500 RAY C HUNT DR FL 3, CHARLOTTESVILLE, VA 22903 (Tel: 4349242224)

📍

Updated Business Mailing Address August 03, 2018

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007 (Tel: 4342951000)

✅

NPI Profile Active November 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2017

Registered at 1275 YORK AVE, NEW YORK, NY 100656007 (Tel: 2126393936)

📍

Updated Business Mailing Address November 14, 2017

Registered at 420 DELAWARE ST SE, MINNEAPOLIS, MN 554550341 (Tel: 6126258364)

👤

Provider Name / Credentials Updated November 14, 2017

Recorded as SUMIT ISHARWAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

Urology (License #288302 in NY)

✅

NPI Profile Active June 22, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2011

Registered at 420 DELAWARE ST SE, MINNEAPOLIS, MN 554550341 (Tel: 6126258364)

📍

Updated Business Mailing Address June 22, 2011

Registered at 420 DELAWARE ST SE, MINNEAPOLIS, MN 554550341 (Tel: 6126258364)

👤

Provider Name / Credentials Updated June 22, 2011

Recorded as SUMIT ISHARWAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2011

Urology (License #23700 in MN)

🟢

Initial NPI Registration & Enumeration June 22, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538455191

Entity Type:

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

Enumeration Date: June 22, 2011

Last Update: April 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 746654

Atlanta, GA 303746654

Phone: 9042022092

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.