SUPREET GHUMMAN
NPI 1619723954
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since April 26, 2024PECOS Enrolled
7615 KENNEDY HL, SAN ANTONIO, TX 78235(210) 890-4243(210) 890-4243 Get Directions Write a Review

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

About Supreet Ghumman NPPES

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

SUPREET GHUMMAN (NPI 1619723954) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619723954
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUPREET GHUMMAN
Location Address7615 KENNEDY HLSan Antonio, TX 78235-4437
Mailing Address27809 121st Pl SeKent, WA 98030-8537
Fax(210) 890-4243
Sole ProprietorYes
Enumeration DateApril 26, 2024
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1619723954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7615 KENNEDY HL, San Antonio, TX 78235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Supreet Ghumman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235

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 Supreet Ghumman's NPI number?

The NPI number for Supreet Ghumman is 1619723954. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Supreet Ghumman located?

Supreet Ghumman practices at 7615 Kennedy Hl, San Antonio, TX 78235. The listed phone number is (210) 890-4243.

What is Supreet Ghumman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Supreet Ghumman enrolled in Medicare?

Yes. Supreet Ghumman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Supreet Ghumman was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.