DR. MARY JESSIE SUMITHRA M.D
NPI 1235364258
Pediatrics in Modesto, CA

Q: What is Mary Sumithra's NPI number?

The NPI number for Mary Sumithra is 1235364258. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Q: What is Mary Sumithra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Sumithra was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2009PECOS Enrolled

4125 BANGS AVE, MODESTO, CA 95356(209) 557-1630 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Mary Jessie Sumithra M.d NPPES

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

DR. MARY JESSIE SUMITHRA M.D (NPI 1235364258) is an individual pediatrics provider in Modesto, California, licensed in California (A105261) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235364258

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MARY JESSIE SUMITHRACredential: M.D

Location Address4125 BANGS AVEModesto, CA 95356-8713

Mailing Address501 6th St, Apt 12-jBrooklyn, NY 11215-3671

Phone(209) 557-1630

Sole ProprietorNo

Enumeration DateMay 19, 2009

Last NPPES UpdateDecember 13, 2021

✔ NPI 1235364258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A105261

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4125 BANGS AVE, Modesto, CA 95356

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Jessie Sumithra 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.