KAREN L. SUMME MD
NPI 1336342278
Surgery in Saint Clair Shores, MI
About Karen L. Summe Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN L. SUMME MD (NPI 1336342278) is an individual surgery provider in Saint Clair Shores, Michigan, licensed in Michigan (4301115468) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and maintains a secondary practice location in Hamilton.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Karen L. Summe 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karen Summe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 520 clinicians in this Medicare group
Greensburg, IN 47240
- Reassigned Medicare billing, Indiana enrollment
- Also billed through NPI 1952300477 (Indiana)
- 180 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Margaret Mary Community Hospital Inc
Critical Access Hospitals · Batesville, INDecatur County Memorial Hospital
Critical Access Hospitals · Greensburg, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Karen Summe's NPI number?
The NPI number for Karen Summe is 1336342278. It was assigned to this individual provider in the NPPES registry on June 7, 2007. The provider is also known as Karen L Huezo MD.
Where is Karen Summe located?
Karen Summe practices at 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081. The listed phone number is (586) 774-8811.
What is Karen Summe's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Karen Summe enrolled in Medicare?
Yes. Karen Summe 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 Karen Summe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Summe reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Decatur County Memorial Hospital (Greensburg, IN). 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 Karen Summe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Summe accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Karen Summe 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 Karen Summe affiliated with any hospitals?
According to CMS data, Karen Summe is affiliated with Margaret Mary Community Hospital Inc and Decatur County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Karen Summe was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Karen L. Summe, MD · NPI 1336342278
Surgery physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1336342278 (Entity type: Individual)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301115468 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 29000 LITTLE MACK AVE STE B, Saint Clair Shores, MI 48081
- **Phone:** (586) 774-8811 · **Fax:** (586) 774-6773
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1376820605, Saint Clair Shores, MI); Decatur County Memorial Hospital (NPI 1437900800, Greensburg, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2004
## Record status
- **NPPES last updated:** August 8, 2018
- **Other identifiers:** Medicaid 0052851 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1336342278) · Data from the CMS NPPES public registry.