DR. SUMUGDHA RAYAMAJHI M.D.
NPI 1467712497
Internal Medicine in Jackson, MI

Q: What is Sumugdha Rayamajhi's NPI number?

The NPI number for Sumugdha Rayamajhi is 1467712497. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Q: What is Sumugdha Rayamajhi's specialty?

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

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment

100 E MICHIGAN AVE STE 102, JACKSON, MI 49201(517) 205-1731 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Mar 6, 2025, Jul 23, 2020 (3 updates tracked since 2020).

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About Dr. Sumugdha Rayamajhi M.d. NPPES

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

DR. SUMUGDHA RAYAMAJHI M.D. (NPI 1467712497) is an individual internal medicine provider in Jackson, Michigan, licensed in Michigan (4301502850) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains a secondary practice location in East Lansing.

NPPES Registry Identity

NPI1467712497

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SUMUGDHA RAYAMAJHICredential: M.D.

Location Address100 E MICHIGAN AVE STE 102Jackson, MI 49201-1406

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (517) 432-3145

Phone(517) 205-1731

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 24, 2012

Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1467712497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301502850

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.

100 E MICHIGAN AVE STE 102, Jackson, MI 49201

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Secondary Practice Location 1

Location 14650 S Hagadorn Rd Ste 100East Lansing, MI 48823-5386 · Phone (517) 353-4941 · Fax (517) 432-3145

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sumugdha Rayamajhi M.d. 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 ID2466673850

PECOS Enrollment IDI20200810000454

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.

Medicare Billing Reassignments

Medicare enrollment records show Sumugdha Rayamajhi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wa Foote Memorial Hospital

0.7 mi

Cardiovascular Disease

205 N EAST AVE
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: W.A. Foote Memorial Hospital
474 clinicians in this Medicare group

NPI 1871773481 (517) 788-4800

Msu Health Care Inc

29 mi

Geriatric Medicine

5091 WILLOUGHBY RD
Holt, MI 48842

Reassigned Medicare billing, Michigan enrollment
365 clinicians in this Medicare group

NPI 1245865328 (517) 694-2144

Mclaren Greater Lansing

30 mi

Cardiovascular Disease

2134 HAMPTON PL
Okemos, MI 48864

Reassigned Medicare billing, Michigan enrollment
167 clinicians in this Medicare group

NPI 1316240567 (517) 347-3000

Edward W Sparrow Hospital Association

34 mi

Internal Medicine

1200 E MICHIGAN AVE STE 510
Lansing, MI 48912

Reassigned Medicare billing, Michigan enrollment
24 clinicians in this Medicare group

NPI 1588586911 (517) 364-5184

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

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.

73 services28 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.

57 services29 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

32 services32 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.

23 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MRS. SANDRA KAY RABY GNP-BC

Nurse Practitioner (Gerontology)