Doctor profile · Federal record
Dr. Sumit Isharwal, MD
Urology Physician (CMS: Urology) · Urology Physician · Urology Physician · Jacksonville, FL
- NPI 1538455191
- Accepts Medicare
- MIPS 79.4 / 100 · 2023
- 20 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1301 Palm Ave Ste 500
Jacksonville, FL 322078432
(904) 202-7300
fax (904) 202-2754 - Mailing address
-
Po Box 746654
Atlanta, GA 303746654
Credentials & registration
- NPI registered
- June 2011 — 15 yrs on file
- Profile last updated
- April 30, 2025
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 208800000X — NUCC code
- State licenses (3)
- Florida #ME1644485 · New York #288302 · Virginia #0101264513
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538455191. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
484
Distinct HCPCS
10
Medicare allowed
$70,175
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 176 | 122 | $95 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 45 | 32 | $79 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 40 | 36 | $65 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $132 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 35 | 34 | $142 | |
55700 |
Biopsy of prostate gland | 25 | 25 | $127 | |
76942 |
Ultrasonic guidance for needle placement | 20 | 20 | $30 | |
76872 |
Ultrasound scan of pelvic region through rectum | 19 | 19 | $30 | |
38571 |
Removal of lymph nodes of both sides of pelvis using an endoscope | 16 | 16 | $327 | |
52332 |
Insertion of stent in ureter using an endoscope | 16 | 13 | $157 |
In context: peer comparison
Among 19 peers in Jacksonville Urology Physician, average services per provider: 241. This provider delivers 2.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
109
Patients
28
Total drug cost
$2,008
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 82 | 28 | $1,869 |
| Finasteride | Generic | 14 | 0 | $102 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 13 | 0 | $37 |
Hospital affiliations
Frequently asked questions
What is Dr. Sumit Isharwal's medical specialty?
Dr. Sumit Isharwal practices Urology Physician in Jacksonville, FL.
Where does Dr. Sumit Isharwal practice?
Dr. Sumit Isharwal practices at 1301 Palm Ave Ste 500, Jacksonville, FL 322078432. Office phone: 9042027300.
What is Dr. Sumit Isharwal's NPI?
Dr. Sumit Isharwal's National Provider Identifier (NPI) is 1538455191, issued by NPPES.
Does Dr. Sumit Isharwal accept Medicare assignment?
Yes. Dr. Sumit Isharwal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sumit Isharwal commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Diagnostic exam of bladder and urethra using an endoscope (HCPCS 52000); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.