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SUMAIYA ANSARI MD
NPI 1265845598
Internal Medicine in Grand Rapids, MI

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-3139 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2021, Feb 19, 2019, Jul 11, 2017 and 1 more (4 updates tracked since 2017).

About Sumaiya Ansari Md NPPES

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

SUMAIYA ANSARI MD (NPI 1265845598) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301105249) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265845598
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUMAIYA ANSARICredential: MD
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-3139
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 4, 2014
Last NPPES UpdateFebruary 24, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1265845598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301105249
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 MICHIGAN ST NE, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Priority Health.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

Sumaiya Ansari 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 ID9436376811
PECOS Enrollment IDI20190715001842
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
112 services54 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.
75 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

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 Sumaiya Ansari's NPI number?

The NPI number for Sumaiya Ansari is 1265845598. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Sumaiya Ansari located?

Sumaiya Ansari practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-3139.

What is Sumaiya Ansari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sumaiya Ansari enrolled in Medicare?

Yes. Sumaiya Ansari 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 Sumaiya Ansari accept?

Health plans from CareSource and Priority Health list Sumaiya Ansari 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 Sumaiya Ansari affiliated with any hospitals?

According to CMS data, Sumaiya Ansari is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Sumaiya Ansari was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.