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DR. MARIVIC SUMULONG-TOMACRUZ M.D.
NPI 1760426324
Internal Medicine in Leavenworth, KS

Active since June 15, 2006PECOS Enrolled
4101 SOUTH 4TH TRAFFICWAY, LEAVENWORTH, KS 66048(913) 682-2000 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marivic Sumulong-tomacruz M.d. NPPES

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

DR. MARIVIC SUMULONG-TOMACRUZ M.D. (NPI 1760426324) is an individual internal medicine provider in Leavenworth, Kansas, licensed in Kansas (04-26592) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760426324
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIVIC SUMULONG-TOMACRUZCredential: M.D.
Location Address4101 SOUTH 4TH TRAFFICWAYLeavenworth, KS 66048
Mailing Address3605 W. 154th StreetLeawood, KS 66224 · (913) 239-0314
Phone(913) 682-2000
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 14, 2013
✔ NPI 1760426324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 04-26592
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4101 SOUTH 4TH TRAFFICWAY, Leavenworth, KS 66048
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Other Names 1

Professional Name (2)Dr. Marivic Sumulong M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marivic Sumulong-tomacruz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66048 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marivic Sumulong-tomacruz's NPI number?

The NPI number for Marivic Sumulong-tomacruz is 1760426324. It was assigned to this individual provider in the NPPES registry on June 15, 2006. The provider is also known as Dr. Marivic Sumulong M.D..

Where is Marivic Sumulong-tomacruz located?

Marivic Sumulong-tomacruz practices at 4101 South 4th Trafficway, Leavenworth, KS 66048. The listed phone number is (913) 682-2000.

What is Marivic Sumulong-tomacruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marivic Sumulong-tomacruz enrolled in Medicare?

Yes. Marivic Sumulong-tomacruz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marivic Sumulong-tomacruz was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.