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SUMAKMUR HOLIWELL
NPI 1376329995
Student in an Organized Health Care Education/Training Program in Flushing, NY

Active since September 08, 2023PECOS Enrolled
4028 COLLEGE POINT BLVD APT 1116, FLUSHING, NY 11354(917) 341-3467 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2023, Sep 8, 2023 (2 updates tracked since 2023).

About Sumakmur Holiwell NPPES

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

SUMAKMUR HOLIWELL (NPI 1376329995) is an individual student in an organized health care education/training program in Flushing, New York 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 Taxonomy390200000X
Provider Legal NameSUMAKMUR HOLIWELL
Location Address4028 COLLEGE POINT BLVD APT 1116Flushing, NY 11354-5151
Mailing Address4028 College Point Blvd Apt 1116Flushing, NY 11354-5151
Phone(917) 341-3467
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2023
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1376329995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4028 COLLEGE POINT BLVD APT 1116, Flushing, NY 11354
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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 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.

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 4028 College Point Blvd Apt 1116, Flushing, NY 11354. The listed phone number is (917) 341-3467.

What is Sumakmur Holiwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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 December 4, 2023. 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.