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YUMNA GHOURI MD
NPI 1023630779
Internal Medicine in The Villages, FL

Active since May 15, 2020PECOS EnrolledAccepts Medicare Assignment
1575 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(844) 884-9355(352) 674-8940 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Sep 16, 2024, May 15, 2020 (3 updates tracked since 2020).

About Yumna Ghouri Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YUMNA GHOURI MD (NPI 1023630779) is an individual internal medicine provider in The Villages, Florida, licensed in Florida (ME179006) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1023630779
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameYUMNA GHOURICredential: MD
Location Address1575 SANTA BARBARA BLVDThe Villages, FL 32159-6820
Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8919
Phone(844) 884-9355
Fax(352) 674-8940
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 15, 2020
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1023630779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME179006
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1575 SANTA BARBARA BLVD, The Villages, FL 32159
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yumna Ghouri Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698136083
PECOS Enrollment IDI20260410003418
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Yumna Ghouri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centerwell Senior Primary Care Vitality Inc
Same address
Internal Medicine
1575 SANTA BARBARA BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
NPI 1477425429 (352) 674-1740
Memorial Hermann Medical Group
841 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
212 services207 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
58 services58 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
56 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY W GIOVANNELLI M.D.
Family Medicine
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 674-1740
EDMUND GEOFFREY LEWIS M.D.
Hospitalist
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 674-1740
ALLISON GREENSTEIN YOW D.O.
Internal Medicine
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 674-1740
PENELOPE SCHLEY HAS
Hearing Instrument Specialist
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 674-1740
KRISTIN N DEBUSK FNP
Nurse Practitioner (Family)
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (844) 884-9355
MARIA FASHINGBAUER RD
Dietitian, Registered
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 674-1740
DEON KEIVA-MARIE SUTHERLAND MD
Family Medicine
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 674-1740
DR. TRESSIE WALDO AUD
Audiologist
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 674-1740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yumna Ghouri's NPI number?

The NPI number for Yumna Ghouri is 1023630779. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Yumna Ghouri located?

Yumna Ghouri practices at 1575 Santa Barbara Blvd, The Villages, FL 32159. The listed phone number is (844) 884-9355.

What is Yumna Ghouri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yumna Ghouri enrolled in Medicare?

Yes. Yumna Ghouri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yumna Ghouri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yumna Ghouri reassigns Medicare benefits to 2 organizations: Centerwell Senior Primary Care Vitality Inc (The Villages, FL) and Memorial Hermann Medical Group (Fulshear, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yumna Ghouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yumna Ghouri accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Insurance Company list Yumna Ghouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yumna Ghouri was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.