SUMIT MAMUN MD
NPI 1629175377
Internal Medicine in San Antonio, TX
About Sumit Mamun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMIT MAMUN MD (NPI 1629175377) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (L3094) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Sumit Mamun 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospital
Acute Care Hospitals · San Antonio, TXMethodist Hospital Stone Oak
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78216 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAN ANTONIO, TX 78216
SAN ANTONIO, TX 78216
SAN ANTONIO, TX 78216
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 Sumit Mamun's NPI number?
The NPI number for Sumit Mamun is 1629175377. It was assigned to this individual provider in the NPPES registry on September 17, 2006.
Where is Sumit Mamun located?
Sumit Mamun practices at 7330 San Pedro Ave Ste. 405, San Antonio, TX 78216. The listed phone number is (210) 344-2673.
What is Sumit Mamun's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sumit Mamun enrolled in Medicare?
Yes. Sumit Mamun 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 Sumit Mamun accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Sumit Mamun 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.
Is Sumit Mamun affiliated with any hospitals?
According to CMS data, Sumit Mamun is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.
When was this NPI record last updated?
The NPPES record for Sumit Mamun was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
