SUMBAL BABAR
NPI 1356834808
Internal Medicine - Infectious Disease in Roanoke, VA

Active since June 10, 2018PECOS EnrolledAccepts Medicare Assignment
2001 CRYSTAL SPRING AVE SW STE 301, ROANOKE, VA 24014(540) 981-7715(540) 981-7965 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sumbal Babar NPPES

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

SUMBAL BABAR (NPI 1356834808) is an individual infectious disease provider in Roanoke, Virginia, licensed in Virginia (0101276555) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1356834808
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSUMBAL BABAR
Location Address2001 CRYSTAL SPRING AVE SW STE 301Roanoke, VA 24014-2465
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5352
Fax(540) 981-7965
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 10, 2018
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
NPI 1356834808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in VA · 0101276555
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.

2001 CRYSTAL SPRING AVE SW STE 301, Roanoke, VA 24014

Secondary Practice Location 1

Location 1809 LaMont StJohnson City, TN 37604-5453 · Phone (423) 926-1171

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

Sumbal Babar 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 ID5092173195
PECOS Enrollment IDI20230622000641
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 5

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.

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.
52 services51 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.
42 services31 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
22 services21 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.
20 services19 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014
Internal Medicine (Infectious Disease)
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014
Internal Medicine (Infectious Disease)
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014
Internal Medicine (Infectious Disease)
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014
Internal Medicine
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014
Pharmacist
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014
Internal Medicine (Infectious Disease)
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014
Internal Medicine (Infectious Disease)
2001 CRYSTAL SPRING AVE SW STE 301
ROANOKE, VA 24014

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 Sumbal Babar's NPI number?

The NPI number for Sumbal Babar is 1356834808. It was assigned to this individual provider in the NPPES registry on June 10, 2018.

Where is Sumbal Babar located?

Sumbal Babar practices at 2001 Crystal Spring Ave SW Ste 301, Roanoke, VA 24014. The listed phone number is (540) 981-7715.

What is Sumbal Babar's specialty?

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

Is Sumbal Babar enrolled in Medicare?

Yes. Sumbal Babar 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.

Is Sumbal Babar affiliated with any hospitals?

According to CMS data, Sumbal Babar is affiliated with Carilion Medical Center.

When was this NPI record last updated?

The NPPES record for Sumbal Babar was last updated on June 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.