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ANDREW SUMARSONO NPI 1750822094


NPI Information

NPI: 1750822094
Provider Name: ANDREW SUMARSONO
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
20405 STATE HIGHWAY 249 STE 325
HOUSTON, TX
ZIP 77070
Phone: (866) 849-0692
Get Directions

Andrew Sumarsono is a geriatric medicine internal medicine in Houston, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Andrew Sumarsono NPI is 1750822094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20405 STATE HIGHWAY 249 STE 325
HOUSTON, TX
ZIP 77070-893
Phone: (866) 849-0692
Fax: (888) 973-8821

The NPI 1750822094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 2/2/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207RG0300XInternal MedicineGeriatric Medicine72555ARIZONANo
3207RG0300XInternal MedicineGeriatric Medicine036.168294ILLINOISNo
4207RG0300XInternal MedicineGeriatric Medicine35C.001260OHIONo
5207RG0300XInternal MedicineGeriatric MedicineMD.48055ALABAMANo
6208M00000XHospitalistR9447TEXASNo
7207RG0300XInternal MedicineGeriatric MedicineR9447TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.