Individual provider Active NPI

Mariaelaina Sumas, MD

  • Neurological Surgery Physician
  • Carlisle, PA
National Provider Identifier
1174577027
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD054935L Issued in PA
Practice address
15 State Ave
Suite 102
Carlisle, PA 17013-4456
Phone
(717) 254-6540
Fax
(717) 254-6586
NPI assigned
May 22, 2006
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD054935L PA Primary
Surgery Physician 208600000X 25MA06586800 NY

Addresses

Primary practice location

15 State Ave
Suite 102
Carlisle, PA 17013-4456

Mailing address

15 State Ave
Suite 102
Carlisle, PA 17013-4456
Phone (717) 254-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000243 PA Practitioner - Neurosurgery 3779510417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Georgetown University School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 State Ave
Carlise, PA 17013-4456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06586800NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariaelaina Sumas, MD, LLC Neurological Surgery CurrentSince Aug 15, 2012 Accepting new patients
Specialists of the Spine, LLC Neurological Surgery Past Accepting new patients
Pennsylvania Neurosurgery and Neuroscience Institute, Inc. Neurological Surgery Past Accepting new patients

Locations

15 State Ave
Ste 102
Carlisle, PA 17013
Phone (717) 254-6540

Interoperability endpoints

  • Direct secure messaging: msumas@1789.securemail.prognocis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1174577027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STATE AVE",
            "address_2": "SUITE 102",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134456",
            "telephone_number": "717-254-6540",
            "fax_number": "717-254-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STATE AVE",
            "address_2": "SUITE 102",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134456",
            "telephone_number": "717-254-6540",
            "fax_number": "717-254-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMAS",
        "first_name": "MARIAELAINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD054935L",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "25MA06586800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.