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ENRIQUE VILLAVICENCIO SUMIRE MD
NPI 1386027506
Psychiatry & Neurology - Neurology in Sikeston, MO

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
135 PLAZA DR STE 102, SIKESTON, MO 63801(573) 471-6010 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Enrique Villavicencio Sumire Md NPPES

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

ENRIQUE VILLAVICENCIO SUMIRE MD (NPI 1386027506) is an individual neurology provider in Sikeston, Missouri, licensed in Arizona (R75314) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Anna Hospital Corporation D/b/a Union County Hospital, and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1386027506
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameENRIQUE VILLAVICENCIO SUMIRECredential: MD
Location Address135 PLAZA DR STE 102Sikeston, MO 63801-5148
Mailing Address1008 N Main StSikeston, MO 63801-5044 · (573) 471-1600
Phone(573) 471-6010
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 7, 2015
Last NPPES UpdateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1386027506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AZ · R75314
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
135 PLAZA DR STE 102, Sikeston, MO 63801
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Secondary Practice Location 1

Location 12800 E Ajo WayTucson, AZ 85713-6204 · Phone (520) 874-2000

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 Sunflower Health Plan 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

Enrique Villavicencio Sumire 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.

PECOS PAC ID8426303298
PECOS Enrollment IDI20201026002767
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 9

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.

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.
305 services193 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.
90 services90 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
72 services45 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.
39 services39 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.
39 services37 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.
36 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260113
Location1008 North Main StSikeston, MO 63801 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63801 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

TRISH R PETERSON FNP-C
Nurse Practitioner (Family)
135 PLAZA DR STE 102
SIKESTON, MO 63801
Scott County (573) 472-6010

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 Enrique Villavicencio Sumire's NPI number?

The NPI number for Enrique Villavicencio Sumire is 1386027506. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Enrique Villavicencio Sumire located?

Enrique Villavicencio Sumire practices at 135 Plaza Dr Ste 102, Sikeston, MO 63801. The listed phone number is (573) 471-6010.

What is Enrique Villavicencio Sumire's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Enrique Villavicencio Sumire enrolled in Medicare?

Yes. Enrique Villavicencio Sumire 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 Enrique Villavicencio Sumire accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Enrique Villavicencio Sumire 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 Enrique Villavicencio Sumire affiliated with any hospitals?

According to CMS data, Enrique Villavicencio Sumire is affiliated with Anna Hospital Corporation D/B/A Union County Hospital, Barnes Jewish Hospital and Missouri Delta Medical Center.

When was this NPI record last updated?

The NPPES record for Enrique Villavicencio Sumire was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.