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SUMBUL MERAJ M.D.
NPI 1285931261
Internal Medicine - Infectious Disease in Saint Louis, MO

Active since February 28, 2011PECOS EnrolledAccepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(314) 525-1000(636) 333-4509 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2023, Sep 22, 2021, Jul 16, 2021 and 1 more (4 updates tracked since 2016).

About Sumbul Meraj M.d. NPPES

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

SUMBUL MERAJ M.D. (NPI 1285931261) is an individual infectious disease provider in Saint Louis, Missouri, licensed in Illinois (036130554) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285931261
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSUMBUL MERAJCredential: M.D.
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing Address775 Sunset Blvd Ste BO Fallon, IL 62269-1960
Phone(314) 525-1000
Fax(636) 333-4509
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 28, 2011
Last NPPES UpdateMay 9, 20234 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1285931261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in IL · 036130554✔ Licensed in MI · 4301505690
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
10010 KENNERLY RD, Saint Louis, MO 63128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Sumbul Meraj M.d. 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 ID9436394228
PECOS Enrollment IDI20130327000332, I20210507001372, I20240906000845
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 9

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.
362 services134 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.
293 services114 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.
92 services90 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
57 services52 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
47 services45 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
32 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

JEREMY STEPHEN COLYER AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 386-7222
REHABILITATION MEDICINE SPECIALISTS, INC.
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4522
DR. MICHAEL D. BAZZANI M.D.
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1165
DR. YUNHONG ZHANG MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000
REBECCA SUSAN HOPKINS R.D., L.D.
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1266
MRS. CASSANDRA ASHLEY STROTHKAMP NP-C
Nurse Practitioner (Family)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1900
RAHUL GUPTA MD
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1906
YIFU F ZHU AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000

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 Sumbul Meraj's NPI number?

The NPI number for Sumbul Meraj is 1285931261. It was assigned to this individual provider in the NPPES registry on February 28, 2011.

Where is Sumbul Meraj located?

Sumbul Meraj practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1000.

What is Sumbul Meraj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sumbul Meraj enrolled in Medicare?

Yes. Sumbul Meraj 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 Sumbul Meraj accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Sumbul Meraj 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 Sumbul Meraj affiliated with any hospitals?

According to CMS data, Sumbul Meraj is affiliated with Ssm Health Depaul Hospital St Louis, Missouri Baptist Medical Center, Christian Hospital Northeast, Barnes-Jewish St Peters Hospital and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Sumbul Meraj was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.