SAAD SULTAN GHUMMAN M.D.
NPI 1356723373
Internal Medicine - Interventional Cardiology in Charlottesville, VA

Q: What is Saad Sultan Ghumman's NPI number?

The NPI number for Saad Sultan Ghumman is 1356723373. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Saad Sultan Ghumman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment

1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-9001(434) 244-7581 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2023, Oct 5, 2022, Jun 25, 2018 (3 updates tracked since 2018).

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About Saad Sultan Ghumman M.d. NPPES

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

SAAD SULTAN GHUMMAN M.D. (NPI 1356723373) is an individual interventional cardiology provider in Charlottesville, Virginia, licensed in Tennessee (65059) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356723373

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameSAAD SULTAN GHUMMANCredential: M.D.

Location Address1215 LEE STCharlottesville, VA 22908

Mailing Address4892 Island Rd Apt N108Bristol, TN 37620-1120

Phone(434) 924-9001

Fax(434) 244-7581

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 25, 2015

Last NPPES UpdateMarch 11, 20243 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1356723373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in TN · 65059✔ Licensed in VA · 0101275489

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10052409 (TX), 0116031224 (VA)

1215 LEE ST, Charlottesville, VA 22908

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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 Magnolia Health 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

Saad Sultan Ghumman 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 ID648569145

PECOS Enrollment IDI20220902001320

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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

328 services289 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

145 services145 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

69 services62 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

62 services36 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.

58 services50 patients

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.

54 services50 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

50 services44 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.

44 services44 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

42 services42 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.

41 services33 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.

37 services37 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

35 services34 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

31 services31 patients

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.

30 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

18 services13 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

15 services15 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

14 services12 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

14 services14 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

14 services14 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440012

LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County

Emergency services Birthing friendly

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440050

Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County

Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440184

Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

NORMA BRANHAM R.N., N.P.

Nurse Practitioner

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2047

FARNAZ M GAZONI MD

Anesthesiology

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2283

MARGARET K. SANDE M.D.

Emergency Medicine

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

KATHERINE T, FORKIN M.D.

Anesthesiology

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2283

AMBER N. INOFUENTES M.D.

Hospitalist

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-4288

JOY R MILLER PNP

Nurse Practitioner (Pediatrics)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-2617

DR. DARREN GUFFEY M.D.

Dermatology

1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-1931

SETH MORRISON MD

Pediatrics (Pediatric Gastroenterology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

AARON FREY DO

Emergency Medicine

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

SARA M VECCHIONE FNP

Nurse Practitioner (Family)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

NICOLE M FRANK PA

Physician Assistant (Medical)

1215 LEE ST, 7TH FLOOR
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 982-1707

ELLEN A FAULK MD

Radiology (Diagnostic Radiology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-9400

DARLENE ACERO MS, RD

Dietitian, Registered (Nutrition, Metabolic)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2665

MAXWELL THOMAS LAWS MD

Student in an Organized Health Care Education/Training Program

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2203

CONNOR D SLEETH MD

Radiology (Diagnostic Radiology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-9400

ALEXA WEST RDN

Dietitian, Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-0000

SARA DOGOM BOHON MD

Student in an Organized Health Care Education/Training Program

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

JORDAN EMILY COURTRIGHT DNAP, CRNA

Nurse Anesthetist, Certified Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

MADISON SMITH

Dietitian, Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

MISS DIANA C WARGEL PA

Physician Assistant

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-1000

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 Saad Sultan Ghumman's NPI number?

The NPI number for Saad Sultan Ghumman is 1356723373. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Saad Sultan Ghumman located?

Saad Sultan Ghumman practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9001.

What is Saad Sultan Ghumman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Saad Sultan Ghumman enrolled in Medicare?

Yes. Saad Sultan Ghumman 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 Saad Sultan Ghumman accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Saad Sultan Ghumman 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 Saad Sultan Ghumman affiliated with any hospitals?

According to CMS data, Saad Sultan Ghumman is affiliated with Wellmont Bristol Regional Medical Center, Greeneville Community Hospital, Johnson City Medical Center, Franklin Woods Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Saad Sultan Ghumman was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.