DR. JULES HENRY SUMKIN DO
NPI 1326014309
Radiology - Diagnostic Radiology in Pittsburgh, PA

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
300 HALKET ST, MAGEE-WOMENS HOSPITAL, PITTSBURGH, PA 15213(412) 641-1635 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jules Henry Sumkin Do NPPES

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

DR. JULES HENRY SUMKIN DO (NPI 1326014309) is an individual diagnostic radiology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS005728L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1326014309
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JULES HENRY SUMKINCredential: DO
Location Address300 HALKET ST, MAGEE-WOMENS HOSPITALPittsburgh, PA 15213-3108
Mailing Address200 Lothrop St Ste E204Pittsburgh, PA 15213-2536 · (412) 641-1635
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateFebruary 28, 2006
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1326014309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · OS005728L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
300 HALKET ST, Pittsburgh, PA 15213

Other Identifiers 1

Medicaid001050517PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jules Henry Sumkin Do 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 ID8820281637
PECOS Enrollment IDI20101025000423
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jules Sumkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
300 HALKET ST
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
27 services27 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
27 services27 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
13 services13 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Nurse Practitioner (Obstetrics & Gynecology)
300 HALKET ST, SUITE 0610
PITTSBURGH, PA 15213
Nurse Practitioner
300 HALKET ST
PITTSBURGH, PA 15213
Nurse Practitioner (Neonatal, Critical Care)
300 HALKET ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
300 HALKET ST
PITTSBURGH, PA 15213
Pathology (Anatomic Pathology & Clinical Pathology)
300 HALKET ST
PITTSBURGH, PA 15213
Obstetrics & Gynecology
300 HALKET ST, SUITE 5120
PITTSBURGH, PA 15213
Pharmacist
300 HALKET ST
PITTSBURGH, PA 15213
Nurse Anesthetist, Certified Registered
300 HALKET ST, UPMC EAST
PITTSBURGH, PA 15213

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 Jules Sumkin's NPI number?

The NPI number for Jules Sumkin is 1326014309. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Jules Sumkin located?

Jules Sumkin practices at 300 Halket St Magee-Womens Hospital, Pittsburgh, PA 15213. The listed phone number is (412) 641-1635.

What is Jules Sumkin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jules Sumkin enrolled in Medicare?

Yes. Jules Sumkin 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.

Which organizations bill Medicare for Jules Sumkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jules Sumkin reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Regional Health Services Inc (Erie, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jules Sumkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jules Sumkin affiliated with any hospitals?

According to CMS data, Jules Sumkin is affiliated with Upmc Mckeesport Hospital, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Jules Sumkin was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.