SUMBAL AUGUSTINE PAUL FNP
NPI 1669169256
Nurse Practitioner - Family in Elmhurst, NY

Q: What is Sumbal Paul's NPI number?

The NPI number for Sumbal Paul is 1669169256. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Sumbal Paul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sumbal Paul was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment

8831 55TH AVE STE 201, ELMHURST, NY 11373(718) 899-6600(718) 606-3881 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Sumbal Augustine Paul Fnp NPPES

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

SUMBAL AUGUSTINE PAUL FNP (NPI 1669169256) is an individual family provider in Elmhurst, New York, licensed in New York (F351325) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jamaica, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669169256

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUMBAL AUGUSTINE PAULCredential: FNP

Location Address8831 55TH AVE STE 201Elmhurst, NY 11373-5293

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 899-6600

Fax(718) 606-3881

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 24, 2023

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1669169256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F351325

8831 55TH AVE STE 201, Elmhurst, NY 11373

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Secondary Practice Location 1

Location 1180-05 Hillside AveJamaica, NY 11432-4727 · Phone (718) 526-6300 · Fax (718) 286-3863

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sumbal Augustine Paul Fnp 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 ID2062862782

PECOS Enrollment IDI20231221000977

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.

Medicare Billing Reassignment

Medicare enrollment records show Sumbal Paul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantagecare Physicians PC

5.1 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TATYANA ALEXANDRA DANILOV MD

Internal Medicine (Cardiovascular Disease)