SUMBAL NABI MD
NPI 1255472122
Internal Medicine - Medical Oncology in Enid, OK

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
600 S MONROE ST, ENID, OK 73701(580) 977-1950(580) 977-1949 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2018, Feb 12, 2018, Aug 8, 2017 and 3 more (6 updates tracked since 2016).

About Sumbal Nabi Md NPPES

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

SUMBAL NABI MD (NPI 1255472122) is an individual medical oncology provider in Enid, Oklahoma, licensed in Oklahoma (40297) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Woodward, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1255472122
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameSUMBAL NABICredential: MD
Location Address600 S MONROE STEnid, OK 73701-7211
Mailing Address5300 N Independence Ave, 280Oklahoma City, OK 73112-5556 · (580) 977-1950 · Fax (580) 977-1949
Fax(580) 977-1949
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMarch 6, 20186 updates tracked since enumeration
NPI 1255472122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in OK · 40297
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

600 S MONROE ST, Enid, OK 73701

Other Identifiers 1

Medicaid200198300AOK

Accepted 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

Sumbal Nabi Md 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 ID4385769561
PECOS Enrollment IDI20100910000838
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 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.
962 services508 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
754 services152 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
147 services147 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.
15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370002
Location900 17th StreetWoodward, OK 73801 · Woodward County
Emergency services

Integris Health Ponca City

Acute Care Hospitals · Ponca City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370006
Location1900 North 14th StreetPonca City, OK 74601 · Kay County
Emergency services

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370016
Location600 South MonroeEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370026
Location305 South 5th StreetEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Fairview Regional Medical Center Authority

Critical Access Hospitals · Fairview, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371329
Location523 East State RoadFairview, OK 73737 · Major County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

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.

Anesthesiology
600 S MONROE ST
ENID, OK 73701
Radiology (Diagnostic Radiology)
600 S MONROE ST
ENID, OK 73701
Nurse Anesthetist, Certified Registered
600 S MONROE ST
ENID, OK 73701
Nurse Anesthetist, Certified Registered
600 S MONROE ST
ENID, OK 73701
Obstetrics & Gynecology
600 S MONROE ST
ENID, OK 73701
General Acute Care Hospital
600 S MONROE ST
ENID, OK 73701
Clinical Medical Laboratory
600 S MONROE ST
ENID, OK 73701
Anesthesiology
600 S MONROE ST
ENID, OK 73701

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 Sumbal Nabi's NPI number?

The NPI number for Sumbal Nabi is 1255472122. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Sumbal Nabi located?

Sumbal Nabi practices at 600 S Monroe St, Enid, OK 73701. The listed phone number is (580) 977-1950.

What is Sumbal Nabi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Sumbal Nabi enrolled in Medicare?

Yes. Sumbal Nabi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sumbal Nabi accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Sumbal Nabi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sumbal Nabi affiliated with any hospitals?

According to CMS data, Sumbal Nabi is affiliated with Alliancehealth Woodward, Integris Health Ponca City, Integris Bass Baptist Health Center, St Mary's Regional Medical Center and Fairview Regional Medical Center Authority.

When was this NPI record last updated?

The NPPES record for Sumbal Nabi was last updated on March 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.