DR. SUMBELLA FARHAN BAQAI M.D.
NPI 1801045679
Internal Medicine in Tracy, CA

Active since September 16, 2008PECOS EnrolledAccepts Medicare Assignment
445 W EATON AVE, TRACY, CA 95376(209) 569-7408 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sumbella Farhan Baqai M.d. NPPES

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

DR. SUMBELLA FARHAN BAQAI M.D. (NPI 1801045679) is an individual internal medicine provider in Tracy, California, licensed in California (A105374) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1801045679
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUMBELLA FARHAN BAQAICredential: M.D.
Location Address445 W EATON AVETracy, CA 95376-3420
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 16, 2008
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
NPI 1801045679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A105374
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.
445 W EATON AVE, Tracy, CA 95376

Other Names 1

Former Name (1)Dr. Sumbella Farooq

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

Dr. Sumbella Farhan Baqai 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 ID1759425218
PECOS Enrollment IDI20100222000438
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 4

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.

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.
286 services143 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
105 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95376 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$65.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.66 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.

Surgery
445 W EATON AVE
TRACY, CA 95376
Family Medicine
445 W EATON AVE
TRACY, CA 95376
Pediatrics
445 W EATON AVE
TRACY, CA 95376
Obstetrics & Gynecology
445 W EATON AVE
TRACY, CA 95376
Internal Medicine
445 W EATON AVE
TRACY, CA 95376
Otolaryngology
445 W EATON AVE
TRACY, CA 95376
Family Medicine
445 W EATON AVE
TRACY, CA 95376
Physician Assistant
445 W EATON AVE
TRACY, CA 95376

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 Sumbella Baqai's NPI number?

The NPI number for Sumbella Baqai is 1801045679. It was assigned to this individual provider in the NPPES registry on September 16, 2008. The provider is also known as Dr. Sumbella Farooq.

Where is Sumbella Baqai located?

Sumbella Baqai practices at 445 W Eaton Ave, Tracy, CA 95376. The listed phone number is (209) 569-7408.

What is Sumbella Baqai's specialty?

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

Is Sumbella Baqai enrolled in Medicare?

Yes. Sumbella Baqai 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.

When was this NPI record last updated?

The NPPES record for Sumbella Baqai was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.