SUMBAL ASHRAF JANJUA M.D.
NPI 1780905182
Internal Medicine - Cardiovascular Disease in Providence, RI

Active since June 20, 2010PECOS EnrolledAccepts Medicare Assignment
88.23/100
CMS Quality Rating
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sumbal Ashraf Janjua M.d. NPPES

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

SUMBAL ASHRAF JANJUA M.D. (NPI 1780905182) is an individual cardiovascular disease provider in Providence, Rhode Island, licensed in Rhode Island (MD15507) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1780905182
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSUMBAL ASHRAF JANJUACredential: M.D.
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 20, 2010
Last NPPES UpdateAugust 2, 2016
NPI 1780905182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in RI · MD15507
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
593 EDDY ST, Providence, RI 02903

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

Sumbal Ashraf Janjua 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 ID8921222647
PECOS Enrollment IDI20191007001767, I20201209001978
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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
495 services438 patients
Ct scan of heart structure with contrast 75572
A CT scan of the heart with contrast is a non-invasive test. A dye is injected into your veins, which helps to highlight heart structures in the images. The CT scanner uses X-rays to create detailed pictures of your heart, aiding in diagnosis.
310 services308 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
242 services230 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
237 services90 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
99 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210015
Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County
Emergency services Birthing friendly

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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.

88.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.93
Promoting Interoperability100
Improvement Activities40
Cost60

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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Sumbal Janjua's NPI number?

The NPI number for Sumbal Janjua is 1780905182. It was assigned to this individual provider in the NPPES registry on June 20, 2010.

Where is Sumbal Janjua located?

Sumbal Janjua practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.

What is Sumbal Janjua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sumbal Janjua enrolled in Medicare?

Yes. Sumbal Janjua 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 Sumbal Janjua affiliated with any hospitals?

According to CMS data, Sumbal Janjua is affiliated with Medstar Franklin Square Medical Center, Medstar Union Memorial Hospital and Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Sumbal Janjua was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.