Active NPI 1073748596 Individual Practitioner Female Practitioner

Dr. Sumathi Raja Chanda , MD

Hospitalist • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sumathi Chanda, MD is a certified Hospitalist practicing in Melbourne, FL. With approximately 20 years of clinical experience since graduating from Rutgers New Jersey Medical School in 2006, Dr. Chanda delivers high-quality medical care to the local community at 1350 HICKORY ST.

Dr. Chanda is affiliated with Health First Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1350 Hickory St

Melbourne, FL 32901

Telephone 3214341771

Fax 3214341775

Associated Practice Facility / Clinic

🏢 Holmes Regional Medical Center, Inc. Facility NPI 1295702728

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +4.3 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 19.0 Yrs

Regional Practice Density

85 Specialists

Practicing in Melbourne, FL (1826 Statewide)

Telehealth Adoption Rate

1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chanda (20 Years) 20 Yrs

Melbourne Specialty Average (15.7 Years) 15.7 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	397	191	$241.00	$112.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	271	162	$160.00	$76.16
99239 Hospital discharge day management, more than 30 minutes	52	51	$231.00	$106.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$351.00	$169.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$264.00	$128.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	391	204	$157.25	$76.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	272	153	$235.19	$115.42
99239 Hospital discharge day management, more than 30 minutes	86	85	$226.52	$111.24
99238 Hospital discharge day management, 30 minutes or less	26	25	$157.76	$79.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	19	$102.00	$49.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$351.00	$162.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$264.00	$129.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	373	195	$144.10	$69.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	335	181	$206.10	$101.47
99239 Hospital discharge day management, more than 30 minutes	95	91	$210.19	$102.79
99238 Hospital discharge day management, 30 minutes or less	31	31	$144.13	$71.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$399.00	$196.13
99217 Hospital observation care on day of discharge	19	18	$144.00	$70.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	280	163	$208.25	$102.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	163	$145.12	$71.40
99239 Hospital discharge day management, more than 30 minutes	78	76	$213.19	$106.23
99238 Hospital discharge day management, 30 minutes or less	54	53	$145.17	$72.10
99217 Hospital observation care on day of discharge	16	16	$145.13	$72.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	374	204	$147.11	$73.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	303	141	$211.10	$106.26
99239 Hospital discharge day management, more than 30 minutes	70	68	$216.06	$109.69
99238 Hospital discharge day management, 30 minutes or less	59	59	$148.05	$73.80
99219 Hospital observation care, typically 50 minutes	27	27	$275.00	$139.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$281.00	$142.21
99217 Hospital observation care on day of discharge	21	21	$147.19	$67.35
99225 Subsequent observation care, typically 25 minutes per day	16	15	$147.19	$74.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	572	271	$149.00	$74.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	307	181	$213.00	$105.89
99239 Hospital discharge day management, more than 30 minutes	102	100	$218.00	$108.52
99238 Hospital discharge day management, 30 minutes or less	95	94	$149.00	$73.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	60	$281.00	$139.85
99217 Hospital observation care on day of discharge	39	39	$149.00	$72.23
99219 Hospital observation care, typically 50 minutes	36	36	$278.00	$134.67
99225 Subsequent observation care, typically 25 minutes per day	32	28	$150.00	$74.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	502	242	$147.00	$73.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	401	207	$210.00	$104.71
99239 Hospital discharge day management, more than 30 minutes	111	109	$216.00	$107.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	105	104	$276.00	$138.10
99219 Hospital observation care, typically 50 minutes	82	82	$274.00	$137.09
99238 Hospital discharge day management, 30 minutes or less	76	75	$147.00	$71.14
99217 Hospital observation care on day of discharge	41	40	$147.00	$73.34
99225 Subsequent observation care, typically 25 minutes per day	30	28	$147.00	$73.53
99226 Subsequent observation care, typically 35 minutes per day	18	15	$211.00	$105.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	430	219	$151.23	$71.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	280	156	$213.59	$104.59
99239 Hospital discharge day management, more than 30 minutes	71	70	$217.66	$105.80
99238 Hospital discharge day management, 30 minutes or less	71	71	$146.93	$72.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$282.85	$137.57
99291 Critical care, first 30-74 minutes	30	25	$458.53	$218.89
99217 Hospital observation care on day of discharge	30	30	$147.93	$72.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$413.42	$203.09
99219 Hospital observation care, typically 50 minutes	24	24	$276.83	$136.19
99225 Subsequent observation care, typically 25 minutes per day	22	21	$149.05	$72.86
99226 Subsequent observation care, typically 35 minutes per day	12	12	$214.00	$105.27

Medical Specialties & State Licenses

CMS Verified: 2024-03-25

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License FL ME113198

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL ME113198

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

019432700 (FL)

Commercial Insurance / Payer ID Fl Medicare

HK821Y (FL)

Commercial Insurance / Payer ID Fl Rr Medicare

P01760214 (FL)

Hospital & Practice Group Affiliations

Health First Medical Group, Llc

1350 Hickory St, Melbourne, FL 329013224

Phone: 3214341401

Health First Medical Group, Llc

1350 Hickory St, Melbourne, FL 329013224

Phone: 3214348878

Health First Medical Group, Llc

701 W Cocoa Beach Cswy, Cocoa Beach, FL 329313585

Phone: 3217997128

Health First Medical Group, Llc

1425 Malabar Rd Ne, Palm Bay, FL 329072506

Phone: 3214348121

Health First Medical Group, Llc

699 W Cocoa Beach Cswy, Cocoa Beach, FL 329313562

Practice Associates & Co-Workers

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

40 Associated Practitioners

Tomor Sedaliu

Hospitalist

NPI 1003355850

Dr. Olga Emgushov , MD, MPH

Hospitalist

NPI 1003841222

Doctor of Medicine (M.D.), Master of Public Health

Dr. Bilal Mirza , DO

Hospitalist

NPI 1013666528

Doctor of Osteopathic Medicine (D.O.)

William Evans , FNP

Nurse Practitioner - Adult Health

NPI 1013684844

Family Nurse Practitioner

Dr. Maria Martinez , MD

Hospitalist

NPI 1033319058

Doctor of Medicine (M.D.)

Dr. Alexandra Wolf-Defigarelli , MD

Hospitalist

NPI 1043693484

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

👤

Provider Name / Credentials Updated March 25, 2024

Recorded as SUMATHI CHANDA, M.D.

📍

Updated Business Mailing Address October 31, 2018

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306

📍

Updated Practice Location August 03, 2018

Registered at 1350 HICKORY ST, MELBOURNE, FL 32901 (Tel: 3214341771)

✅

NPI Profile Active March 20, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 20, 2017

Registered at 1350 HICKORY ST, MELBOURNE, FL 329013224 (Tel: 3214341771)

📍

Updated Practice Location March 20, 2017

Registered at 1350 HICKORY ST, MELBOURNE, FL 329013224 (Tel: 3214341771)

👤

Provider Name / Credentials Updated March 20, 2017

Recorded as SUMATHI RAJA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Internal Medicine (License #ME113198 in FL)

📍

Updated Practice Location January 25, 2017

Registered at 1350 HICKORY ST, MELBOURNE, FL 329013224 (Tel: 5617339690)

✅

NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2016

Registered at 11195 S JOG RD, SUITE 3, BOYNTON BEACH, FL 334371829 (Tel: 5617339690)

📍

Updated Business Mailing Address August 05, 2016

Registered at 11195 SOUTH JOG ROAD, SUITE 3, BOYNTON BEACH, FL 33437 (Tel: 5617339690)

👤

Provider Name / Credentials Updated August 05, 2016

Recorded as SUMATHI RAJA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Internal Medicine (License #ME113198 in FL)

🟢

Initial NPI Registration & Enumeration May 28, 2009

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: 1073748596

Entity Type:

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

Enumeration Date: May 28, 2009

Last Update: March 25, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

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.