SYEDA SUMARA TARANUM BASITH M.D.
NPI 1104357995
Ophthalmology in Fort Myers, FL

Q: What is Syeda Sumara Taranum Basith's NPI number?

The NPI number for Syeda Sumara Taranum Basith is 1104357995. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Q: What is Syeda Sumara Taranum Basith's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment

9800 S HEALTHPARK DR STE 110, FORT MYERS, FL 33908(239) 343-6050(239) 343-6883 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2021, Aug 12, 2021, Mar 24, 2021 and 4 more (7 updates tracked since 2017).

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About Syeda Sumara Taranum Basith M.d. NPPES

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

SYEDA SUMARA TARANUM BASITH M.D. (NPI 1104357995) is an individual ophthalmology provider in Fort Myers, Florida, licensed in Florida (ME140503) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1104357995

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameSYEDA SUMARA TARANUM BASITHCredential: M.D.

Location Address9800 S HEALTHPARK DR STE 110Fort Myers, FL 33908-3630

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-6883

Phone(239) 343-6050

Fax(239) 343-6883

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMarch 23, 2017

Last NPPES UpdateNovember 18, 20217 updates tracked since enumeration

NPPES CertifiedNovember 18, 2021

✔ NPI 1104357995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME140503

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

9800 S HEALTHPARK DR STE 110, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 113330 Usf Laurel DrTampa, FL 33612-6601 · Phone (813) 974-2201

Other Identifiers 2

Medicaid103415600FL

Other2C0AXFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Syeda Sumara Taranum Basith 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 ID4082946702

PECOS Enrollment IDI20191030002154

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 Reassignment

Medicare enrollment records show Syeda Sumara Taranum Basith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Service Association Inc

102 mi

Cardiovascular Disease

2 TAMPA GENERAL CIR, STC 5TH FLOOR
Tampa, FL 33606

Reassigned Medicare billing, Florida enrollment
1,079 clinicians in this Medicare group

NPI 1154361053 (813) 259-0600

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.

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.

82 services64 patients

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

68 services50 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.

52 services46 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.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

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.

MAIKEL PEREZ CARRODEGUAS

Nurse Practitioner (Family)