MS. SUMYA ELGUMATI PA-C
NPI 1689121758
Physician Assistant in Seattle, WA

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment
325 9TH AVE, SEATTLE, WA 98104(206) 520-5000 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2021, Aug 17, 2020, Jan 17, 2017 (3 updates tracked since 2017).

About Ms. Sumya Elgumati Pa-c NPPES

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

MS. SUMYA ELGUMATI PA-C (NPI 1689121758) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA61066720) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689121758
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SUMYA ELGUMATICredential: PA-C
Location Address325 9TH AVESeattle, WA 98104-2420
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 7, 2016
Last NPPES UpdateFebruary 2, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
NPI 1689121758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA61066720
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
325 9TH AVE, Seattle, WA 98104

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

Ms. Sumya Elgumati Pa-c 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 ID7911285283
PECOS Enrollment IDI20201022001807
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services48 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services27 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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 20

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

Nurse Practitioner (Acute Care)
325 9TH AVE
SEATTLE, WA 98104
Physical Therapist
325 9TH AVE, BOX 359920
SEATTLE, WA 98104
Pharmacist
325 9TH AVE, MAILSTOP 359912
SEATTLE, WA 98104
Social Worker (Clinical)
325 9TH AVE, BOX 359760
SEATTLE, WA 98104
Physician Assistant (Medical)
325 9TH AVE
SEATTLE, WA 98104
Physical Therapist
325 9TH AVE
SEATTLE, WA 98104
Internal Medicine (Infectious Disease)
325 9TH AVE
SEATTLE, WA 98104
Occupational Therapist
325 9TH AVE
SEATTLE, WA 98104

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 Sumya Elgumati's NPI number?

The NPI number for Sumya Elgumati is 1689121758. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Sumya Elgumati located?

Sumya Elgumati practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 520-5000.

What is Sumya Elgumati's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sumya Elgumati enrolled in Medicare?

Yes. Sumya Elgumati 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 Sumya Elgumati accept?

Health plans from Providence Health Plan list Sumya Elgumati 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 Sumya Elgumati affiliated with any hospitals?

According to CMS data, Sumya Elgumati is affiliated with Swedish Medical Center, Overlake Hospital Medical Center and Multicare Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Sumya Elgumati was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.