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

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

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)
1	390200000X	Student, 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:

Molina Healthcare

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

Select Health

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.

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.
1	6	3	9	3	7	6	4	1	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	6	7	12	4	2
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 = 1									1

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

About SUMAIRA ARAIN

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Pediatrics

Secondary Taxonomies

Student in an Organized Health Care Education/Training Program

Insurance Plans Accepted

Molina Healthcare

Select Health

Medicare Participation & PECOS Enrollment Status

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

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for SUMAIRA ARAIN MD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Sumaira Arain's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Sumaira Arain accept?