Active NPI
Xenia P Sumin, M.D.
- Nephrology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2684247
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-2000
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2684247 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400113591 | Other | MEDICARE | |
| 04076413 | Medicaid | NY |
Other names 1
- Xenia P Sumin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 E 34TH St
New York, NY 10016-4974
Phone (212) 889-0770
323 E 34TH St
New York, NY 10016-4974
Phone (212) 889-0770
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2684247 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Manhattan PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Robert Matalon MD PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Albert Matalon MD PC | Nephrology | Past | Accepting new patients |
Locations
594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680
594 Albany Ave
#C
Brooklyn, NY 11203
Phone (646) 694-6680
50 Water St
Fl 3
New York, NY 10004
1752 Park Ave
New York, NY 10035
Phone (646) 686-0000
317 E 34th St
Fl 2
New York, NY 10016
317 E 34th St
New York, NY 10016
Phone (212) 263-9741
317 E 34th St
#12
New York, NY 10016
323 E 34th St
Fl Seconf
New York, NY 10016
Phone (212) 263-7239
323 E 34th St
Fl 12
New York, NY 10016
Phone (212) 889-1082
323 E 34th St
Fl 2
New York, NY 10016
Phone (212) 263-7239
323 E 34th St
New York, NY 10016
Phone (212) 726-7400
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- xsumin1585706@nychhc.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- New York, NY
- NPI 1811978984
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Specialist
- New York, NY
- NPI 1477568343
-
dba Henry J. Carter Specialty Hospital
- Clinic/Center
- New York, NY
- NPI 1538943469
-
dba Coler Rehabilitation and Nursing Care Center
- Skilled Nursing Facility
- New York, NY
- NPI 1679581607
-
- Nephrology Physician
- New York, NY
- NPI 1821203134
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New York, NY
- NPI 1598746257
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1699165811
Dialysis facility
-
dba Henry J. Carter Specialty Hospital
- Clinic/Center
- New York, NY
- NPI 1538943469
Long-term care hospital
-
dba Henry J. Carter Specialty Hospital
- Long Term Care Hospital
- New York, NY
- NPI 1992713564
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1477795771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMIN",
"first_name": "XENIA",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "2684247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A400113591",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04076413",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "XENIA",
"last_name": "SUMIN",
"middle_name": "P",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.