DR. HUMBERTO SIFUENTES M.D.
NPI 1053577320
Internal Medicine - Gastroenterology in Augusta, GA

Q: What is Humberto Sifuentes's NPI number?

The NPI number for Humberto Sifuentes is 1053577320. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Q: What is Humberto Sifuentes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment

77.82/100

CMS Quality Rating

1120 15TH ST, AUGUSTA, GA 30912(706) 721-2238(706) 721-0331 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Nov 18, 2015 (2 updates tracked since 2015).

On this page

About Dr. Humberto Sifuentes M.d. NPPES

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

DR. HUMBERTO SIFUENTES M.D. (NPI 1053577320) is an individual gastroenterology provider in Augusta, Georgia, licensed in Georgia (066071) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2006).

NPPES Registry Identity

NPI1053577320

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. HUMBERTO SIFUENTESCredential: M.D.

Location Address1120 15TH STAugusta, GA 30912-0004

Mailing Address1499 Walton Way, Suite 1400Augusta, GA 30901-2602 · (706) 721-2238 · Fax (706) 721-0331

Phone(706) 721-2238

Fax(706) 721-0331

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2006

Enumeration DateAugust 5, 2008

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1053577320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in GA · 066071

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-121980 (IL)

1120 15TH ST, Augusta, GA 30912

Open in Google Maps ↗

Other Identifiers 1

Other066071GA · Ga Licenses

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Humberto Sifuentes 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.

PECOS PAC ID1153471198

PECOS Enrollment IDI20140623002745

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.

Areas of Expertise CMS Part B claims 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services32 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

56 services56 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

53 services53 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

53 services45 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

41 services41 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

32 services32 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

26 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

20 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

12 services12 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.04

Promoting Interoperability

Improvement Activities

Cost

60.7

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.

DR. TOYA HESTER KELLEY MD

Family Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-3157

DR. JACK BRADLEY ELLIS D.O.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

SAMI MOHAMMED ALSHEHRY

Student in an Organized Health Care Education/Training Program

1120 15TH ST, 1065
AUGUSTA, GA 30912

Richmond County (706) 721-2411

LUIS ALBERTO VELASQUEZ ZARATE M.D

Pathology (Anatomic Pathology & Clinical Pathology)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-2771

DR. BRYAN RICHARD BROACH M.D.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

JANELLE MCGILL M.D.

Pediatrics

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

DR. KAYLA ASHLEY SHAHBAZIAN DO

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

ROSA MARIA LOPEZ RINCON

Anesthesiology

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 446-5836

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 Humberto Sifuentes's NPI number?

The NPI number for Humberto Sifuentes is 1053577320. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Humberto Sifuentes located?

Humberto Sifuentes practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2238.

What is Humberto Sifuentes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Humberto Sifuentes enrolled in Medicare?

Yes. Humberto Sifuentes 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.

What insurance does Humberto Sifuentes accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Humberto Sifuentes 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.

Is Humberto Sifuentes affiliated with any hospitals?

According to CMS data, Humberto Sifuentes is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Humberto Sifuentes was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.