ANDREW SUMARSONO MD NPI 1750822094

NPI Information

  • NPI: 1750822094
  • Provider Name: ANDREW SUMARSONO, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20405 STATE HIGHWAY 249 STE 325
    HOUSTON, TX
    ZIP 77070
  • Phone: (866) 849-0692

Map and Directions

Get Directions

NPI Details

Andrew Sumarsono, MD 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, MD 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)

The enumeration date for this NPI number is 3/20/2017 and was last updated on 12/30/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine036.168294ILLINOISNo
2207RG0300XInternal MedicineGeriatric MedicineMD484882PENNSYLVANIANo
3207RG0300XInternal MedicineGeriatric MedicineMD61609756WASHINGTONNo
4207RG0300XInternal MedicineGeriatric Medicine2024-00918NORTH CAROLINANo
5207RG0300XInternal MedicineGeriatric Medicine72555ARIZONANo
6207RG0300XInternal MedicineGeriatric MedicineMD.48055ALABAMANo
7207RG0300XInternal MedicineGeriatric Medicine35C.001260OHIONo
8207RG0300XInternal MedicineGeriatric MedicineCDR.0003652COLORADONo
9207RG0300XInternal MedicineGeriatric MedicineME171302FLORIDANo
10207RG0300XInternal MedicineGeriatric Medicine102421GEORGIANo
11207RG0300XInternal MedicineGeriatric Medicine93618SOUTH CAROLINANo
12207RG0300XInternal MedicineGeriatric Medicine2024049377MISSOURINo
13208M00000XHospitalistR9447TEXASNo
14390200000XStudent in an Organized Health Care Education/Training ProgramNo
15207RG0300XInternal 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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI