SUMAIRA ARAIN MD
NPI 1639376411
Pediatrics in Ogden, UT

NPI Status: Active since June 27, 2007

Contact Information

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403
Phone: (801) 387-3364

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About SUMAIRA ARAIN

This page provides the complete NPI Profile along with additional information for Sumaira Arain, a pediatrician established in Ogden, Utah with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1639376411 assigned on June 2007. The practitioner's primary taxonomy code is 208000000X with license number 10115158-1205 (UT). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1639376411
Provider Name
SUMAIRA ARAIN MD
Gender
Female
Entity Type
Individual
Location Address
4401 HARRISON BLVD OGDEN, UT 84403
Location Phone
(801) 387-3364
Mailing Address
PO BOX 27128 SALT LAKE CITY, UT 84127
Is Sole Proprietor?
No
Enumeration Date
06-27-2007
Last Update Date
06-04-2019
Code Navigator

A pediatrician like Sumaira Arain is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 1250 E Marshall St
    Richmond, VA 23298
    (804) 828-9783
  • 1250 E Marshall St
    Richmond, VA 23298
    (804) 828-9783

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
10115158-1205
License State
UT
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

0116019183 (VA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sumaira Arain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 84403 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.41
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.03
  • Average New Patient Copayment $21.1
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.5

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.35
  • Minimum Established Patient Price $17.23
  • Maximum Established Patient Price $135.2
  • Average Established Patient Copayment $24.08
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.8

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for SUMAIRA ARAIN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639376411
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669671242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 7 + 1 + 2 + 4 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1639376411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. JAMES F MARSTON RPH

Pharmacist

4401 HARRISON BLVD
SUITE 1620
OGDEN, UT
ZIP 84403

(801) 387-7500

GERALD R PETERSEN R.PH.

Pharmacist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-7500

DR. DOLLY LOUISE PEACH M.D.

Internal Medicine

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-3654

LOVENIA M STAM APRN

Nurse Practitioner

(Family)

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-7074

DR. MASOOD SAFAEE-SEMIROMI M.D.

Internal Medicine

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-3364

RALPH E FRIZ MD

Anesthesiology

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 993-9582

BENJAMIN DEHAAN OT

Occupational Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2775

TAWNA M FIELD OT

Occupational Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2800

LARENCE J FOULGER OT

Occupational Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2800

JEFFREY B GLIEDMAN MD

Specialist/Technologist, Pathology

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2800

DAWN MONCHELLE HANSMANN SLP

Speech-Language Pathologist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2800

RICHARD M ALLEN MD

Anesthesiology

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 993-9582

CHRISTOPHER L HALL MD

Specialist/Technologist, Pathology

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-7300

LISA FARNSWORTH PT

Physical Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2800

DARIN A STRATFORD OT

Occupational Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2775

JAMES E CHANDLER OT

Occupational Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2800

LYNN S CARLING PT

Physical Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 779-6366

BOYD M EASTMAN PT

Physical Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2080

DARREN R COLEMAN PT

Physical Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2800

DEANA J FOULGER PT

Physical Therapist

4401 HARRISON BLVD
OGDEN, UT
ZIP 84403

(801) 387-2080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639376411, enumerated as an "individual" on June 27, 2007.

The provider is located at 4401 HARRISON BLVD OGDEN, UT 84403 and the phone number is (801) 387-3364.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Molina Healthcare and Select Health. Please consult your insurance carrier or call the provider to verify.