DR. SUMIT SOM (M.D.) – Public Health & General Preventive Medicine Physician, NPI 1235559451
Public Health & General Preventive Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9 PREVENTIVE MEDICINE in OK
Provider Addresses for DR. SUMIT SOM (M.D.)
2605 SW 119TH ST
OKLAHOMA CITY, OK 731702601
Phone: (405) 912-3400
Type: Mailing
2605 SW 119TH ST STE A
OKLAHOMA CITY, OK 731702601
Phone: (405) 912-3400
Type: Location
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 272-5116
Fax: (502) 588-9490
Type: Mailing
2051 CLEVIDENCE BLVD STE B
CLARKSVILLE, IN 471292278
Phone: (812) 280-9145
Fax: (812) 280-6627
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: 2017-07-24
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 |
|---|---|---|---|---|
| I20170724003305 | I | Preventive Medicine | IN | 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 | 249 | 151 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 205 | 136 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 83 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 64 | $0 |
| 81003 | Automated urinalysis test | 62 | 53 | $0 |
Insurance plans in this area (ZIP 73170)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | KY | |
| - | IL | |
| Internal Medicine | KY | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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