DR. MARIA PACHECO RUMSEY MD NPI 1023295516

Internal Medicine (Cardiovascular Disease) in Fall River, MA

NPI 1023295516 Individual Female Years of Experience 19 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

About MARIA RUMSEY

Maria Rumsey is an internal medicine provider established in Fall River, Massachusetts and her medical specialization is internal medicine (cardiovascular disease) with more than 19 years of experience. She graduated from Georgetown University School Of Medicine in 2002. The NPI number of Maria Rumsey is 1023295516 and was assigned on January 2008. The practitioner's primary taxonomy code is 207RC0000X with license number 235621 (MA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

An internist like Dr. Maria Pacheco Rumsey Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Maria Rumsey is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Maria Rumsey is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Saint Anne's Hospital and Southcoast Hospitals Group.

NPI

1023295516

Provider NameDR. MARIA PACHECO RUMSEY MD
Provider Location Address289 PLEASANT ST STE 301 FALL RIVER, MA 02721
Provider Mailing Address289 PLEASANT ST STE 301 FALL RIVER, MA 02721
GenderFemale
NPI Entity TypeIndividual
Medical School NameGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-27-2008
Last Update Date01-04-2017


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.235621
License StateMA
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. MARIA PACHECO RUMSEY MD
289 PLEASANT ST
STE 301
FALL RIVER, MA
ZIP 02721
Phone: (508) 676-3292

Get Directions


Mailing Address

DR. MARIA PACHECO RUMSEY MD
289 PLEASANT ST
STE 301
FALL RIVER, MA
ZIP 02721
Phone: (508) 676-3292



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5294809794
PECOS Enrollment IDI20080731000723
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 358Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 230Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 202Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 116Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 115Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 79Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 51Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 44Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 42Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 38Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Maria Rumsey is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SAINT ANNE'S HOSPITAL795 MIDDLE STREET
FALL RIVER, MA 2721
(508) 674-5600Acute Care Hospitals220020
SOUTHCOAST HOSPITALS GROUP363 HIGHLAND AVENUE
FALL RIVER, MA 2720
(508) 679-3131Acute Care Hospitals220074

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseMD034794DCNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457355729 RAVI CHANDER M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST STE 301
FALL RIVER, MA 02721
(508) 679-9995
1083618359DR. WILLIAM ROBERT COUREY M.D.
Individual
Radiology (Diagnostic Radiology)289 PLEASANT ST STE 101
FALL RIVER, MA 02721
(508) 674-0600
1760486047DR. GLENN DUBLER M.D.
Individual
Orthopaedic Surgery289 PLEASANT ST STE 202
FALL RIVER, MA 02721
(508) 678-2503
1649272717DR. MURRAY DIMANT M.D.
Individual
Radiology (Diagnostic Radiology)289 PLEASANT ST STE 101
FALL RIVER, MA 02721
(508) 674-0600
1821092107DR. FARES GENNAOUI M.D.
Individual
Radiology (Nuclear Radiology)289 PLEASANT ST STE 101
FALL RIVER, MA 02721
(508) 674-0600
1831191923DR. LOUIS AGUIAR O.D.
Individual
Optometrist289 PLEASANT ST STE 201
FALL RIVER, MA 02721
(508) 678-2718
1891799748DR. RAJARATNAM ABRAHAM M.D.
Individual
Internal Medicine289 PLEASANT ST STE 401
FALL RIVER, MA 02721
(508) 679-5888
1447255880 TAMIM HINEDI M.D.
Individual
Internal Medicine (Infectious Disease)289 PLEASANT ST
FALL RIVER, MA 02721
(508) 646-7730
1235134677 ZIA KIDWAI M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST STE 301
FALL RIVER, MA 02721
(508) 679-9955
1912904988 MANUELA MENDES M.D.
Individual
Family Medicine289 PLEASANT ST SUITE 203
FALL RIVER, MA 02721
(508) 679-1033
1376540443 DAVID MADDOCK M.D.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST SUITE 501
FALL RIVER, MA 02721
(508) 679-6611
1346248531 MAJED MOUDED M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)289 PLEASANT ST
FALL RIVER, MA 02721
(508) 646-7730
1851399034 HANY MISTIKAWY M.D.
Individual
Internal Medicine289 PLEASANT ST SUITE 404
FALL RIVER, MA 02721
(508) 679-2265
1881692952 BASSEM NASSER M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST SUITE 301
FALL RIVER, MA 02721
(508) 679-9955
1881688232 FREDERICK SCHNURE M.D.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST
FALL RIVER, MA 02721
(508) 679-6611
1043204407 RAJU SINGLA M.D.
Individual
Internal Medicine289 PLEASANT ST
FALL RIVER, MA 02721
(508) 646-7730
1497749725 DONALD SUTHERLAND D.O.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST SUITE 501
FALL RIVER, MA 02721
(508) 679-6611
1679567903 JEREMY WORTHINGTON M.D.
Individual
Psychiatry & Neurology (Neurology)289 PLEASANT ST SUITE 403
FALL RIVER, MA 02721
(508) 674-1500
1154315471 KAREN SUSSKIND M.D.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST SUITE 501
FALL RIVER, MA 02721
(508) 679-6611
1023002052 STEPHEN ZUEHLKE M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST SUITE 301
FALL RIVER, MA 02721
(508) 679-9955

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.