SUMRA TAYEBALY M.D.
NPI 1043622632
Obstetrics & Gynecology in Princeton, NJ
About Sumra Tayebaly M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMRA TAYEBALY M.D. (NPI 1043622632) is an individual obstetrics & gynecology provider in Princeton, New Jersey, licensed in New Jersey (25MA10428000) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in Plainsboro.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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
Sumra Tayebaly M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Sumra Tayebaly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hillsborough, NJ 08844
- Reassigned Medicare billing, New Jersey enrollment
- 793 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRINCETON, NJ 08540
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 Sumra Tayebaly's NPI number?
The NPI number for Sumra Tayebaly is 1043622632. It was assigned to this individual provider in the NPPES registry on May 29, 2014.
Where is Sumra Tayebaly located?
Sumra Tayebaly practices at 419 N Harrison St Ste 201, Princeton, NJ 08540. The listed phone number is (609) 924-9300.
What is Sumra Tayebaly's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Sumra Tayebaly enrolled in Medicare?
Yes. Sumra Tayebaly 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 organization bills Medicare for Sumra Tayebaly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumra Tayebaly reassigns Medicare benefits to Clinical Health Care Associates Of New Jersey, PC (Hillsborough, NJ). The 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 Sumra Tayebaly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sumra Tayebaly affiliated with any hospitals?
According to CMS data, Sumra Tayebaly is affiliated with University Medical Center Of Princeton At Plainsboro.
When was this NPI record last updated?
The NPPES record for Sumra Tayebaly was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Sumra Tayebaly, M.D. · NPI 1043622632
Obstetrics & Gynecology physician in Princeton, New Jersey. Individual provider, active in the CMS NPPES registry since May 29, 2014.
## Identity
- **NPI:** 1043622632 (Entity type: Individual)
- **Enumerated:** May 29, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 25MA10428000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 419 N HARRISON ST STE 201, Princeton, NJ 08540-3521
- **Phone:** (609) 924-9300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Clinical Health Care Associates Of New Jersey, PC (NPI 1962977249, Hillsborough, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers, Robert Woood Johnson Medical School, class of 2014
## Record status
- **NPPES last updated:** July 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043622632) · Data from the CMS NPPES public registry.