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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMAKMUR HOLIWELL PA-C
NPI 1376329995
Internal Medicine in Woodside, NY

Active since September 08, 2023PECOS Enrolled
6315 ROOSEVELT AVE, WOODSIDE, NY 11377(718) 874-3173 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Dec 4, 2023, Sep 8, 2023 (3 updates tracked since 2023).

About Sumakmur Holiwell Pa-c NPPES

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

SUMAKMUR HOLIWELL PA-C (NPI 1376329995) is an individual internal medicine provider in Woodside, New York, licensed in New York (034583) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376329995
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUMAKMUR HOLIWELLCredential: PA-C
Location Address6315 ROOSEVELT AVEWoodside, NY 11377-3641
Mailing Address6315 Roosevelt AveWoodside, NY 11377-3641 · (718) 874-3173
Phone(718) 874-3173
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2023
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1376329995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 034583
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6315 ROOSEVELT AVE, Woodside, NY 11377
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumakmur Holiwell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355830043
PECOS Enrollment IDI20251031003030
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11377 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

NP PHYSICAL THERAPY, PC
Physical Therapist
6315 ROOSEVELT AVE
WOODSIDE, NY 11377
Queens County (718) 327-0401

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 Sumakmur Holiwell's NPI number?

The NPI number for Sumakmur Holiwell is 1376329995. It was assigned to this individual provider in the NPPES registry on September 8, 2023.

Where is Sumakmur Holiwell located?

Sumakmur Holiwell practices at 6315 Roosevelt Ave, Woodside, NY 11377. The listed phone number is (718) 874-3173.

What is Sumakmur Holiwell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sumakmur Holiwell enrolled in Medicare?

Yes. Sumakmur Holiwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sumakmur Holiwell was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.