DR. SUMIA RASHID M.D.
NPI 1073784252
Internal Medicine - Nephrology in Houston, TX

Active since March 17, 2008PECOS EnrolledAccepts Medicare Assignment
427 W 20TH ST STE 300, HOUSTON, TX 77008(713) 791-1633(713) 791-1710 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Apr 8, 2020 (2 updates tracked since 2020).

About Dr. Sumia Rashid M.d. NPPES

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

DR. SUMIA RASHID M.D. (NPI 1073784252) is an individual nephrology provider in Houston, Texas, licensed in Texas (M8938) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1073784252
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SUMIA RASHIDCredential: M.D.
Location Address427 W 20TH ST STE 300Houston, TX 77008-2429
Mailing Address427 W 20th St Ste 300Houston, TX 77008-2429 · (713) 791-1633 · Fax (713) 791-1710
Fax(713) 791-1710
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 17, 2008
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1073784252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · M8938
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

427 W 20TH ST STE 300, Houston, TX 77008

Accepted 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. Sumia Rashid 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 ID345311353
PECOS Enrollment IDI20130821000943
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 8

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
818 services184 patients
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.
670 services196 patients
Dialysis procedure requiring repeat evaluation 90947
Dialysis is a treatment that filters waste and excess water from your blood, mimicking the function of healthy kidneys. Repeat evaluations are necessary to monitor your body's response to the treatment, ensuring it's working effectively and adjusting as needed for optimal health.
222 services47 patients
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.
173 services156 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
94 services38 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
79 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Medical Center

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450659
Location1313 Hermann DrHouston, TX 77004 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
88%25 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
89%63 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
95%144 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Nurse Anesthetist, Certified Registered
427 W 20TH ST STE 300
HOUSTON, TX 77008
Internal Medicine (Nephrology)
427 W 20TH ST STE 300
HOUSTON, TX 77008
Radiology (Vascular & Interventional Radiology)
427 W 20TH ST STE 300
HOUSTON, TX 77008
Nurse Anesthetist, Certified Registered
427 W 20TH ST STE 300
HOUSTON, TX 77008
Thoracic Surgery (Cardiothoracic Vascular Surgery)
427 W 20TH ST STE 300
HOUSTON, TX 77008
Internal Medicine (Nephrology)
427 W 20TH ST STE 300
HOUSTON, TX 77008
Thoracic Surgery (Cardiothoracic Vascular Surgery)
427 W 20TH ST STE 300
HOUSTON, TX 77008
Radiology (Vascular & Interventional Radiology)
427 W 20TH ST STE 300
HOUSTON, TX 77008

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 Sumia Rashid's NPI number?

The NPI number for Sumia Rashid is 1073784252. It was assigned to this individual provider in the NPPES registry on March 17, 2008.

Where is Sumia Rashid located?

Sumia Rashid practices at 427 W 20th St Ste 300, Houston, TX 77008. The listed phone number is (713) 791-1633.

What is Sumia Rashid's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sumia Rashid enrolled in Medicare?

Yes. Sumia Rashid 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 Sumia Rashid accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sumia Rashid 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 Sumia Rashid affiliated with any hospitals?

According to CMS data, Sumia Rashid is affiliated with Memorial Hermann - Texas Medical Center and Hca Houston Healthcare Medical Center.

When was this NPI record last updated?

The NPPES record for Sumia Rashid was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.