DR. SUMIT GAUR MD
NPI 1609972801
Internal Medicine - Hematology & Oncology in El Paso, TX

Q: What is Sumit Gaur's NPI number?

The NPI number for Sumit Gaur is 1609972801. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Sumit Gaur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Gaur was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment

4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5200(915) 215-8640 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sumit Gaur Md NPPES

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

DR. SUMIT GAUR MD (NPI 1609972801) is an individual hematology & oncology provider in El Paso, Texas, licensed in Texas (M0727) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1609972801

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. SUMIT GAURCredential: MD

Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707

Mailing Address440 Raynolds St # 51015El Paso, TX 79905-1613 · (915) 215-4479 · Fax (915) 215-5386

Phone(915) 215-5200

Fax(915) 215-8640

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJanuary 11, 2023

NPPES CertifiedJanuary 11, 2023

✔ NPI 1609972801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in TX · M0727

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4801 ALBERTA AVE, El Paso, TX 79905

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Other Identifiers 1

Medicaid174163901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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. Sumit Gaur 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 ID9436195724

PECOS Enrollment IDI20050708000307

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 2

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.

50 services31 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.

32 services24 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450024

Location4815 Alameda AveEl Paso, TX 79905 · El Paso County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700

Treatment-Treatment - Miscellaneous · category RX000N

2 suppliers13 claims900 services$0.62 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers11 claims11 services$17.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSEPH JEFFREY MILLER

Nurse Practitioner (Family)