DR. SUMANA MOOLE (MD) – Gastroenterology Physician, NPI 1104855949
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
524 GASTROENTEROLOGY in GA
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Provider Addresses for DR. SUMANA MOOLE (MD)
3390 PADDOCKS PKWY STE 100
SUWANEE, GA 300249119
Phone: (770) 400-0828
Fax: (866) 554-1774
Type: Mailing
Hospital Parkway, Johns Creek, Georgia, 30098, United States
SUITE 450
JOHNS CREEK, GA 300971828
Phone: (770) 227-2222
Fax: (770) 227-2220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $231.
Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($45).
Total Amount
$231
General + Research + Ownership
Payments
11
Total payment records
General Amount
$231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170602002163 | I | Gastroenterology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30024)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | GA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 57 | 57 |
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