GYULNARA GEORGIYEVNA KASUMOVA M.D.
NPI 1174960553
Student in an Organized Health Care Education/Training Program in Lebanon, NH
About Gyulnara Georgiyevna Kasumova M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GYULNARA GEORGIYEVNA KASUMOVA M.D. (NPI 1174960553) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gyulnara Georgiyevna Kasumova M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Gyulnara Kasumova reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgton, ME 04009
- Reassigned Medicare billing, Maine enrollment
- 563 clinicians in this Medicare group
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 920 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.
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.
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.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
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 Gyulnara Kasumova's NPI number?
The NPI number for Gyulnara Kasumova is 1174960553. It was assigned to this individual provider in the NPPES registry on May 26, 2013.
Where is Gyulnara Kasumova located?
Gyulnara Kasumova practices at 1 Medical Center Dr Dhmc, Lebanon, NH 03756. The listed phone number is (603) 650-7692.
What is Gyulnara Kasumova's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Gyulnara Kasumova enrolled in Medicare?
Yes. Gyulnara Kasumova is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gyulnara Kasumova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gyulnara Kasumova reassigns Medicare benefits to 3 organizations: Bridgton Hospital (Bridgton, ME), Rumford Hospital (Rumford, ME) and Central Maine Medical Center (Lewiston, ME). Each 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 Gyulnara Kasumova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gyulnara Kasumova was last updated on May 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Gyulnara Georgiyevna Kasumova, M.D. · NPI 1174960553
Student in an Organized Health Care Education/Training Program provider in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since May 26, 2013.
## Identity
- **NPI:** 1174960553 (Entity type: Individual)
- **Enumerated:** May 26, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER DR, DHMC, Lebanon, NH 03756-1000
- **Phone:** (603) 650-7692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bridgton Hospital (NPI 1154370153, Bridgton, ME); Rumford Hospital (NPI 1205991122, Rumford, ME); Central Maine Medical Center (NPI 1689653487, Lewiston, ME) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1174960553) · Data from the CMS NPPES public registry.