UMMA KULSUM M.D.
NPI 1750771093
Internal Medicine - Pulmonary Disease in Jamaica, NY

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
8900 VAN WYCK EXPY, JAMAICA HOSPITAL MEDICAL CENTER, JAMAICA, NY 11418(718) 206-7708 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Umma Kulsum M.d. NPPES

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

UMMA KULSUM M.D. (NPI 1750771093) is an individual pulmonary disease provider in Jamaica, New York, licensed in New York (293089) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1750771093
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameUMMA KULSUMCredential: M.D.
Location Address8900 VAN WYCK EXPY, JAMAICA HOSPITAL MEDICAL CENTERJamaica, NY 11418-2832
Mailing Address8900 Van Wyck Expy, Jamaica Hospital Medical CenterJamaica, NY 11418-2832 · (718) 206-7708
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 26, 2015
Last NPPES UpdateFebruary 27, 2019
NPI 1750771093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 293089
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
8900 VAN WYCK EXPY, Jamaica, NY 11418

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

Umma Kulsum M.d. 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 ID8224384250
PECOS Enrollment IDI20180705002679
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
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.

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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.52
Promoting Interoperability78
Improvement Activities40
Cost44.46

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers30 claims30 services$33.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers34 claims35 services$76.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers36 claims94 services$27.73 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$47.60 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers24 claims24 services$14.77 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers20 claims20 services$10.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Neurological Surgery
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Obstetrics & Gynecology
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Internal Medicine (Pulmonary Disease)
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Internal Medicine (Pulmonary Disease)
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
JAMAICA, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
JAMAICA, NY 11418
Emergency Medicine
8900 VAN WYCK EXPY
JAMAICA, NY 11418

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 Umma Kulsum's NPI number?

The NPI number for Umma Kulsum is 1750771093. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Umma Kulsum located?

Umma Kulsum practices at 8900 Van Wyck Expy Jamaica Hospital Medical Center, Jamaica, NY 11418. The listed phone number is (718) 206-7708.

What is Umma Kulsum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Umma Kulsum enrolled in Medicare?

Yes. Umma Kulsum 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.

Is Umma Kulsum affiliated with any hospitals?

According to CMS data, Umma Kulsum is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Umma Kulsum was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.