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SUMRA RATHORE MD
NPI 1760440481
Pathology - Anatomic Pathology & Clinical Pathology in Jacksonville, FL

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
5008 MUSTANG RD, JACKSONVILLE, FL 32216(904) 296-2350(904) 296-8467 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sumra Rathore Md NPPES

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

SUMRA RATHORE MD (NPI 1760440481) is an individual anatomic pathology & clinical pathology provider in Jacksonville, Florida, licensed in Florida (ME 71280) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System -- Camden Campus, and is a graduate of University Of Florida College Of Medicine (1996).

NPPES Registry Identity

NPI1760440481
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSUMRA RATHORECredential: MD
Location Address5008 MUSTANG RDJacksonville, FL 32216-6028
Mailing Address5008 Mustang RdJacksonville, FL 32216-6028 · (904) 887-9780 · Fax (904) 296-8467
Phone(904) 296-2350
Fax(904) 296-8467
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1996
Enumeration DateMay 2, 2006
Last NPPES UpdateSeptember 23, 2010
✔ NPI 1760440481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in FL · ME 71280
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
5008 MUSTANG RD, Jacksonville, FL 32216
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Other Identifiers 2

Medicare PIN10047ZFL
Other220032664FL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Sumra Rathore Md 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 ID42606253
PECOS Enrollment IDI20251119005216
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.

Hospital Affiliations CMS Care Compare

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

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

SARAH BARKSDALE, MD, PA
Pathology (Anatomic Pathology)
5008 MUSTANG RD
JACKSONVILLE, FL 32216
Duval County (904) 296-2333
DR. MAUD MAJOR-NICOLAS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5008 MUSTANG RD
JACKSONVILLE, FL 32216
Duval County (407) 310-0203

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 Sumra Rathore's NPI number?

The NPI number for Sumra Rathore is 1760440481. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Sumra Rathore located?

Sumra Rathore practices at 5008 Mustang Rd, Jacksonville, FL 32216. The listed phone number is (904) 296-2350.

What is Sumra Rathore's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sumra Rathore enrolled in Medicare?

Yes. Sumra Rathore 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 Sumra Rathore accept?

Health plans from BlueCross BlueShield of South Carolina list Sumra Rathore 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 Sumra Rathore affiliated with any hospitals?

According to CMS data, Sumra Rathore is affiliated with Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Sumra Rathore was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.