Sumit Kumar, M.D.
NPI 1811251929ActiveIndividual· Surgery, Surgical Critical Care· Santa Rosa, CA
Surgery, Surgical Critical Care (M.D.) with Sutter Bay Medical Foundation, practicing in Santa Rosa, California. Mostly services rather than prescriptions: Medicare paid $54,932 for 172 patients in 2024, with only 13 Part D claims. Hologic Sales and Service, LLC reported $32.05 in payments in 2025, mostly food and beverage. Lists Sutter Santa Rosa Regional Hospital as a hospital affiliation.
Overview
| NPI | 1811251929 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 3, 2012 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Surgical Critical Care Primary | 2086S0102X | A133698 | CA |
| Surgery, Surgical Critical Care | 2086S0102X | 34201 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CA); Practitioner - General Surgery (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 343 across 43 procedure codes |
| Paid by Medicare | $54,932 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 17 30-day fills |
|---|---|
| Total drug cost | $252.52 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | General Surgery |
| Secondary specialties | Critical Care (Intensivists) |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliation
- Sutter Santa Rosa Regional HospitalSanta Rosa, CA
Industry payments (Open Payments)
- 2025$32.05 · 1 payment from 1 company
- 2024$151.39 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $32.05 | 1 |
What the 2025 payments were for
- Food and Beverage$32.05 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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