TRISTAN SUMPTER NPI 1013384049

Driver in Matteson, IL

NPI 1013384049 Individual Male Driver

About TRISTAN SUMPTER

Tristan Sumpter is a provider established in Matteson, Illinois and his medical specialization is driver. The NPI number of Tristan Sumpter is 1013384049 and was assigned on August 2015. The practitioner's primary taxonomy code is 172A00000X with license number S51381289198 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

Tristan Sumpter is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013384049

Provider Name TRISTAN SUMPTER
Provider Location Address6237 SUNFLOWER DR MATTESON, IL 60443
Provider Mailing Address6237 SUNFLOWER DR MATTESON, IL 60443
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-25-2015
Last Update Date08-25-2015


Primary Taxonomy

Taxonomy Code172A00000X
ClassificationDriver
TypeOther Service Providers
License No.S51381289198
License StateIL
Taxonomy DescriptionA person employed to operate a motor vehicle as a carrier of persons or property.

Business Address

TRISTAN SUMPTER
6237 SUNFLOWER DR
MATTESON, IL
ZIP 60443
Phone: (773) 240-2375

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Mailing Address

TRISTAN SUMPTER
6237 SUNFLOWER DR
MATTESON, IL
ZIP 60443
Phone: (773) 240-2375



NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.