Sumit Duggal, - Medicare Cardiovascular Disease (cardiology) in Frederick, MD

Sumit Duggal, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Frederick, Maryland. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Cardiovascular Specialists Of Frederick, Llc, Frederick Health Hospital Inc and his current practice location is 180 Thomas Johnson Dr Ste 202, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 631-6877.

Sumit Duggal is licensed to practice in Maryland (license number M85207) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386806784.

Contact Information

Sumit Duggal,
180 Thomas Johnson Dr Ste 202,
Frederick, MD 21702-4550
(301) 631-6877
(301) 631-2428

Map and Direction




Physician's Profile

Full NameSumit Duggal
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience22 Years
Location180 Thomas Johnson Dr Ste 202, Frederick, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sumit Duggal graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1386806784
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 09/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193874857
  • Enrollment ID: I20180824000926

Medical Identifiers

Medical identifiers for Sumit Duggal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386806784NPI-NPPES
PO1720959OtherPARAILROAD MEDICARE
103048459MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease M85207 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Frederick Health HospitalFrederick, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiovascular Specialists Of Frederick, Llc408266776111
Frederick Health Hospital Inc044614925622

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sumit Duggal allows following entities to bill medicare on his behalf.
Entity NameFrederick Health Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982600771
PECOS PAC ID: 0446149256
Enrollment ID: O20040311000363
Entity NameCardiovascular Specialists Of Frederick, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922034461
PECOS PAC ID: 4082667761
Enrollment ID: O20050222000655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sumit Duggal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sumit Duggal,
180 Thomas Johnson Dr Ste 202,
Frederick, MD 21702-4550

Ph: (301) 631-6877
Sumit Duggal,
180 Thomas Johnson Dr Ste 202,
Frederick, MD 21702-4550

Ph: (301) 631-6877

Reviews and Comments


Internal Medicine Doctors in Frederick, MD

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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