AMIR RUMMAN MD
NPI 1841843448
Internal Medicine - Gastroenterology in Charlottesville, VA

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 297-5055(434) 244-9489 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2020, Aug 5, 2019, Jul 23, 2019 (3 updates tracked since 2019).

About Amir Rumman Md NPPES

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

AMIR RUMMAN MD (NPI 1841843448) is an individual gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0101266772) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Duncan Regional Hospital, Inc, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1841843448
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameAMIR RUMMANCredential: MD
Location Address1215 LEE STCharlottesville, VA 22908-0816
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007 · (434) 295-1000 · Fax (434) 972-4266
Fax(434) 244-9489
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 23, 2019
Last NPPES UpdateApril 9, 20203 updates tracked since enumeration
NPPES CertifiedApril 9, 2020
NPI 1841843448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in VA · 0101266772
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1215 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 1500 Monroe LnCharlottesville, VA 22903-3318 · Phone (434) 924-9999 · Fax (434) 982-0768

Accepted 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

Amir Rumman 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 ID2062742505
PECOS Enrollment IDI20200709000485
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 30

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.

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
72 services70 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.
72 services61 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
66 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services64 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
51 services51 patients
Study of esophageal sensation by balloon distension 91040
This procedure involves inflating a small balloon in the esophagus, the tube connecting your mouth to your stomach. It helps doctors understand how your esophagus responds to pressure changes, aiding in the diagnosis of certain digestive disorders.
47 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370023
Location2621 Whisenant DrDuncan, OK 73533 · Stephens County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK
OwnershipGovernment - Local
CMS Certification Number370158
Location2301 N 9th AvePurcell, OK 73080 · Mcclain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Amir Rumman's NPI number?

The NPI number for Amir Rumman is 1841843448. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Amir Rumman located?

Amir Rumman practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 297-5055.

What is Amir Rumman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Amir Rumman enrolled in Medicare?

Yes. Amir Rumman 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 Amir Rumman accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Amir Rumman 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 Amir Rumman affiliated with any hospitals?

According to CMS data, Amir Rumman is affiliated with Duncan Regional Hospital, Inc, Integris Baptist Medical Center, Inc, Ssm Health St Anthony Hospital - Oklahoma City, O U Medical Center and Purcell Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Amir Rumman was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.