SUMIT GUHA M.D.
NPI 1144278698
Emergency Medicine in New Braunfels, TX

Q: What is Sumit Guha's NPI number?

The NPI number for Sumit Guha is 1144278698. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Sumit Guha's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Guha was last updated on March 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2006PECOS Enrolled

600 N UNION AVE, NEW BRAUNFELS, TX 78130(830) 643-6166 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sumit Guha M.d. NPPES

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

SUMIT GUHA M.D. (NPI 1144278698) is an individual emergency medicine provider in New Braunfels, Texas, licensed in Texas (J9695) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144278698

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSUMIT GUHACredential: M.D.

Location Address600 N UNION AVENew Braunfels, TX 78130-4194

Mailing Address20 Inwood BlfSan Antonio, TX 78248-1645

Phone(830) 643-6166

Sole ProprietorNo

Enumeration DateMay 5, 2006

Last NPPES UpdateMarch 27, 2014

✔ NPI 1144278698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TX · J9695

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

600 N UNION AVE, New Braunfels, TX 78130

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Other Identifiers 3

Medicare UPING01460TX

Medicaid166860001TX

Medicare PIN8C0106TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. 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 (PECOS)

Sumit Guha M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

147 services144 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

53 services53 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

40 services34 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.

31 services30 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

TIFFANY A PETEETE AGACNP

Nurse Practitioner (Acute Care)