SUMI G. SO (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1215159249

SUMI G. SO (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 059024 (GA). The NPI Number for SUMI G. SO (M.D.) is 1215159249

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SUMI G. SO (M.D.)
NPI
1215159249
Phone
(317) 614-9863
Address
PO BOX 3293
Enumeration Date
2 May 2007
Last Update Date
31 January 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7702191553
Graduation Year
2001 (25 years ago)
PAC ID
4385745249
Group Practice PAC ID
6608860929
Professional Enrollment ID
I20070721000030
Address ID
GA305013741GA743XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

391 PATHOLOGY in GA

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Provider Addresses for SUMI G. SO (M.D.)

  • Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States

    INDIANAPOLIS, IN 462063293

    Phone: (317) 614-9863

    Fax: (844) 876-0873

    Type: Mailing

  • Northeast Georgia Medical Center, 743, Spring Street Northeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305013715

    Phone: (800) 562-4530

    Fax: (706) 378-8864

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-07-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070721000030IPathologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity987578$0
88341Special stained specimen slides to examine tissue, each additional procedure628144$0
88342Special stained specimen slides to examine tissue, initial procedure289251$0
88307Pathology examination of tissue using a microscope, moderately high complexity176119$0
88112Cell examination of specimen, selective cellular enhancement technique120107$0
View full utilization report →

Insurance plans in this area (ZIP 46206)

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Provider's Procedures

SUMI G. SO (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88312Special stained specimen slides to identify organisms including interpretation and report5435

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608860929View full group profile
NameSpecialtyState
P A T H O L O G YIN
P A T H O L O G YGA
-GA
P A T H O L O G YIN
P A T H O L O G YIN
P A T H O L O G YIN
-IN
P A T H O L O G YGA

Reviews

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Frequently asked questions

What is the registry number for SUMI G. SO (M.D.)?
The registry entry for SUMI G. SO (M.D.) shows NPI 1215159249.
Quick check: is SUMI G. SO (M.D.) active?
Public NPPES data shows SUMI G. SO (M.D.) with an active NPI status right now.
How should patients interpret SUMI G. SO (M.D.)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for SUMI G. SO (M.D.). Clinical services aligned with this taxonomy classification.
Is SUMI G. SO (M.D.) tied to Indianapolis, Indiana?
If you are local to Indianapolis, Indiana, SUMI G. SO (M.D.) may be relevant to your search.
Who maintains SUMI G. SO (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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