SUMIT A WALIA (MD) – Gastroenterology Physician, NPI 1295963247

SUMIT A WALIA (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 29236 (OK). The NPI Number for SUMIT A WALIA (MD) is 1295963247

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SUMIT A WALIA (MD)
NPI
1295963247
Phone
(405) 702-1300
Address
3366 NW EXPRESSWAY STE 400
Enumeration Date
29 June 2009
Last Update Date
16 May 2018

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5809771960
Graduation Year
2009 (17 years ago)
PAC ID
2567782642
Group Practice PAC ID
0345151981
Professional Enrollment ID
I20150514000422
Address ID
OK737017286EN707XXSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

143 GASTROENTEROLOGY in OK

Provider Addresses for SUMIT A WALIA (MD)

  • 3366 NW EXPRESSWAY STE 400

    OKLAHOMA CITY, OK 731124416

    Phone: (405) 702-1300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 239 Open Payments records for all available years, with a total value of $3,183.

Total Amount is formed as General ($3,183) + Research ($0) + Ownership ($0) = $3,183.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($1,025).

Total Amount

$3,183

General + Research + Ownership

Payments

239

Total payment records

General Amount

$3,183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-05-14

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
I20150514000422IGastroenterologyOKTBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare9695$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8281$0
99204New patient office or other outpatient visit, 45-59 minutes7878$0
45380Biopsy of large bowel using a flexible endoscope7676$0
99213Established patient office or other outpatient visit, 20-29 minutes6458$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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Provider's Procedures

SUMIT A WALIA (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYPA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2121
GASTROENTEROLOGYPA45378Diagnostic examination of large bowel using an endoscope1817

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: 0345151981View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOK
Nurse PractitionerOK
Physician AssistantOK
Family PracticeOK
Family PracticeOK
Physician AssistantOK
Internal Medicine, GastroenterologyOK
Physician AssistantOK
Nurse PractitionerOK
Gastroenterology, Internal MedicineOK

Reviews

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Frequently asked questions

What is the registry number for SUMIT A WALIA (MD)?
The registry entry for SUMIT A WALIA (MD) shows NPI 1295963247.
Is SUMIT A WALIA (MD) currently accepting referrals based on NPI status?
Registry metadata lists SUMIT A WALIA (MD) as active.
Which specialty label fits SUMIT A WALIA (MD)?
NPPES ties SUMIT A WALIA (MD) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SUMIT A WALIA (MD)?
SUMIT A WALIA (MD) shows a connection to Oklahoma City, Oklahoma in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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