Sumit Isharwal, MD
Urology Physician · Jacksonville, FL
Sumit Isharwal, MD is a urology physician with a practice address in Jacksonville, Florida, and NPI 1538455191, issued on Jun 22, 2011. Check the license (Florida ME1644485, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Sumit Isharwal
- Credential
- MD
- Primary taxonomy
- Urology Physician 208800000X
- License numbers
- ME1644485 FL
288302 NY
0101264513 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1301 Palm Ave Ste 500, Jacksonville, FL 32207
- Phone
- (904) 202-7300
- Enumerated
- Jun 22, 2011
- Record last updated
- Apr 30, 2025
- Fax
- (904) 202-2754
- Medicare enrollment
- Enrolled (PECOS I20240815000895); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest urology physician records → All 1,020 in Florida → Look up another NPI →
Also registered at 1301 Palm Ave Ste 500
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Konstantinos Chouliaras, M.D.Surgical Oncology Physician1215349022
- Victoria Dajani, PAPhysician Assistant1932832995
- Amy Dugan, PA-CPhysician Assistant1134292691
Verify Sumit Isharwal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME1644485Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average urology physician in 2024
90 Medicare Part D claims for 44 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D.
Most prescribed
- Tamsulosin Hcl43 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Baptist MD Anderson Cancer Physicians IncJacksonville, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sumit Isharwal among 1,020 urology physician records in Florida
Sumit Isharwal, MD is one of 1,020 urology physician records with a practice address in Florida. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 73% of them.
- NPI issued2011 · 73% of these records are older, 25% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated2006 · median 1999 among the 721 with a school on file
- Record last updated2025 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Florida
There are 1,020 urology physician records in Florida.
All 1,020 in Florida → Every provider in Jacksonville → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Mark Barraza, MDJacksonville, FL 322071346271772
- Isuru Jayaratna, M.D.Jacksonville, FL 322071578884128
- Barrett McCormick, M.D.Jacksonville, FL 322071235495003
- Jonathan Melquist, MDJacksonville, FL 322071336396910
- Lael Stieglitz, MDJacksonville, FL 322071336535004
- Muhammad Alam, MDJacksonville, FL 322091184186009
- Kethandapatti Balaji, MBBSJacksonville, FL 322091558314484
- Joseph Costa, D.O.Jacksonville, FL 322091467424093
Common questions
What is Sumit Isharwal, MD's NPI number?
Sumit Isharwal, MD's National Provider Identifier (NPI) is 1538455191, issued on Jun 22, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Sumit Isharwal, MD located?
The NPPES record lists a practice address at 1301 Palm Ave Ste 500, Jacksonville, FL, 32207. Phone: (904) 202-7300. Providers update this record themselves, so call before visiting.
How can I verify Sumit Isharwal, MD's license?
NPPES lists Florida license number ME1644485, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sumit Isharwal, MD prescribe under Medicare Part D?
In 2024, Sumit Isharwal, MD had 90 Medicare Part D claims for 44 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.
What is Sumit Isharwal, MD's MIPS final score?
The 2023 MIPS final score is 79.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.