SUNITA MALL (MD) – Internal Medicine Physician, NPI 1962455634
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,201 INTERNAL MEDICINE in OH
Provider Addresses for SUNITA MALL (MD)
904 Scioto St
Urbana, OH 430782226
Phone: (937) 653-5231
Fax: (937) 563-7551
Type: Location
405 W GRAND AVE
DAYTON, OH 454057538
Phone: (937) 723-3276
Fax: (937) 723-3277
Type: Location
4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454295164
Phone: (800) 875-0136
Fax: (937) 619-4231
Type: Mailing
Urbana Hospital, 904, Scioto Street, Urbana, Champaign County, Ohio, 43078, United States
URBANA, OH 430782226
Phone: (937) 653-5231
Fax: (937) 563-7551
Type: Location
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1310
Fax: (937) 522-8068
Type: Mailing
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: 2004-06-02
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 |
|---|---|---|---|---|
| I20040602000952 | I | Hospitalist | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43078)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| - | OH | |
| General Surgery | OH | |
| Family Practice | OH | |
| - | OH | |
| Internal Medicine, Hospitalist | PA | |
| Registered Dietitian Or Nutrition Professional | OH |
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