DR. LENI T SUMICH II M.D.
NPI 1477628139
Ophthalmology in Metairie, LA
About Dr. Leni T Sumich Ii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LENI T SUMICH II M.D. (NPI 1477628139) is an individual ophthalmology provider in Metairie, Louisiana, licensed in Louisiana (024425) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Dr. Leni T Sumich Ii 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.
Areas of Expertise CMS Part B claims 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
METAIRIE, LA 70006
METAIRIE, LA 70006
METAIRIE, LA 70006
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 Leni Sumich's NPI number?
The NPI number for Leni Sumich is 1477628139. It was assigned to this individual provider in the NPPES registry on November 21, 2006.
Where is Leni Sumich located?
Leni Sumich practices at 4324 Veterans Memorial Blvd Suite 102, Metairie, LA 70006. The listed phone number is (504) 455-9825.
What is Leni Sumich's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Leni Sumich enrolled in Medicare?
Yes. Leni Sumich 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 Leni Sumich accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Leni Sumich 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.
When was this NPI record last updated?
The NPPES record for Leni Sumich was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
