DR. DIANE IRAGENA SHUMBUSHO MD
NPI 1457708802
Obstetrics & Gynecology in Watertown, NY
About Dr. Diane Iragena Shumbusho Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DIANE IRAGENA SHUMBUSHO MD (NPI 1457708802) is an individual obstetrics & gynecology provider in Watertown, New York, licensed in New York (328335) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and maintains a secondary practice location in Fort Drum.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Dr. Diane Iragena Shumbusho 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Medical Center
Acute Care Hospitals · Watertown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WATERTOWN, NY 13601
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 Diane Shumbusho's NPI number?
The NPI number for Diane Shumbusho is 1457708802. It was assigned to this individual provider in the NPPES registry on May 16, 2016. The provider is also known as Diane Iragena Bizimana.
Where is Diane Shumbusho located?
Diane Shumbusho practices at 1575 Washington St, Watertown, NY 13601. The listed phone number is (315) 785-4155.
What is Diane Shumbusho's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Diane Shumbusho enrolled in Medicare?
Yes. Diane Shumbusho 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 Diane Shumbusho affiliated with any hospitals?
According to CMS data, Diane Shumbusho is affiliated with Samaritan Medical Center.
When was this NPI record last updated?
The NPPES record for Diane Shumbusho was last updated on April 17, 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.
# Dr. Diane Iragena Shumbusho, MD · NPI 1457708802
Obstetrics & Gynecology physician in Watertown, New York. Individual provider, active in the CMS NPPES registry since May 16, 2016.
## Identity
- **NPI:** 1457708802 (Entity type: Individual)
- **Enumerated:** May 16, 2016
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 328335 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1575 WASHINGTON ST, Watertown, NY 13601-9371
- **Phone:** (315) 785-4155 · **Fax:** (315) 779-5066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1457708802) · Data from the CMS NPPES public registry.