UMMERUBAB SYEDA
NPI 1245694355
Internal Medicine - Nephrology in Pikeville, KY

Q: What is Ummerubab Syeda's NPI number?

The NPI number for Ummerubab Syeda is 1245694355. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Ummerubab Syeda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ummerubab Syeda was last updated on July 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment

86.86/100

CMS Quality Rating

911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-2208(606) 218-7508 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2022, Apr 12, 2021 (2 updates tracked since 2021).

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About Ummerubab Syeda NPPES

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

UMMERUBAB SYEDA (NPI 1245694355) is an individual nephrology provider in Pikeville, Kentucky, licensed in Kentucky (55129) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245694355

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameUMMERUBAB SYEDA

Location Address911 BYPASS RD BLDG APikeville, KY 41501-1689

Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2208 · Fax (606) 218-7508

Phone(606) 430-2208

Fax(606) 218-7508

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 6, 2016

Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1245694355 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 KY · 55129

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.

911 BYPASS RD BLDG A, Pikeville, KY 41501

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Other Identifiers 1

Other1912278961CT · Organization Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 and accepts Medicare assignment

Ummerubab Syeda 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 ID8729352232

PECOS Enrollment IDI20210524001368

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.

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.

92 services61 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

83 services63 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

35 services34 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.

31 services26 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.

30 services15 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.

23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number180069

Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

86.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.39

Promoting Interoperability

100

Improvement Activities

Cost

70.65

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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.

MRS. WHITNEY P. BURTON PA-C

Physician Assistant