DR. SUMIT NIKUNJ RINGWALA (M.D.) – Interventional Cardiology Physician, NPI 1316089154
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
705 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WI
Provider Addresses for DR. SUMIT NIKUNJ RINGWALA (M.D.)
2700 W 9th Ave
Suite 106
Oshkosh, WI 549047247
Phone: (920) 236-1741
Type: Location
1721 S Stephenson Ave
Iron Mountain, MI 498013637
Phone: (906) 774-1313
Type: Location
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543052487
Phone: (920) 445-7210
Fax: (920) 445-7289
Type: Mailing
South Webster Avenue, Navarino, Green Bay, Brown County, Wisconsin, 54301, United States
GREEN BAY, WI 543013505
Phone: (920) 433-3640
Fax: (920) 433-3716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $2,825.
Total Amount is formed as General ($2,825) + Research ($0) + Ownership ($0) = $2,825.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABIOMED ($1,338).
Total Amount
$2,825
General + Research + Ownership
Payments
35
Total payment records
General Amount
$2,825
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $1,338 |
| Inari Medical, Inc. | $1,185 |
| Actelion Pharmaceuticals US, Inc. | $100 |
| Surmodics, Inc. | $67 |
| Medtronic, Inc. | $47 |
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: 2023-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20111209000754 | I | Cardiovascular Disease (Cardiology) | WI | TBD |
| I20231116001901 | I | Interventional Cardiology | MI | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 288 | 247 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 109 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 76 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 74 | 67 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 67 | 67 | $0 |
Insurance plans in this area (ZIP 54904)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | WI | 85610 | Blood test, clotting time | 282 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | MI | |
| Pulmonary Disease | MI | |
| Medical Oncology, Internal Medicine | WI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | WI | |
| - | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | WI |
Reviews
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