Ronald Herman Sumter, MD - Medicare Internal Medicine in Bronx, NY

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Ronald Herman Sumter, MD is a medicare enrolled "Internal Medicine" physician in Bronx, New York. He went to State University Of New York Downstate Medical Center and graduated in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Peters Hospital Of The City Of Albany and his current practice location is 2015 Grand Concourse, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 299-7295.

Ronald Herman Sumter is licensed to practice in New York (license number 259242) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922260058.

Contact Information

Ronald Herman Sumter, MD
2015 Grand Concourse,
Bronx, NY 10453-4303
(718) 299-7295
Not Available

Map and Direction




Physician's Profile

Full NameRonald Herman Sumter
GenderMale
SpecialityInternal Medicine
Experience17 Years
Location2015 Grand Concourse, Bronx, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ronald Herman Sumter attended and graduated from State University Of New York Downstate Medical Center in 2007
  NPI Data:
  • NPI Number: 1922260058
  • Provider Enumeration Date: 06/30/2008
  • Last Update Date: 03/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234314923
  • Enrollment ID: I20150123000098

Medical Identifiers

Medical identifiers for Ronald Herman Sumter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922260058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 259242 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Peter's HospitalAlbany, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Peters Hospital Of The City Of Albany2668460072207

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ronald Herman Sumter allows following entities to bill medicare on his behalf.
Entity NameDenise C Santucci
Entity TypePractitioner - Family Practice
Entity IdentifiersNPI Number: 1023098076
PECOS PAC ID: 9032182415
Enrollment ID: I20040813001117
Entity NameSamaritan Hospital Of Troy, New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782
Entity NameParker Jewish Institute For Health Care And Rehabilitation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275427
PECOS PAC ID: 5294645966
Enrollment ID: O20040223000631
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215
Entity NameMemorial Hospital, Albany N.y.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801837539
PECOS PAC ID: 1052203312
Enrollment ID: O20040330000224
Entity NameSt Peters Hospital Of The City Of Albany
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518042357
PECOS PAC ID: 2668460072
Enrollment ID: O20040504001301
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NameEssen Medical Urgicare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903
Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ronald Herman Sumter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ronald Herman Sumter, MD
2626 Halperin Ave,
Bronx, NY 10461-2631

Ph: (718) 618-0401		Ronald Herman Sumter, MD
2015 Grand Concourse,
Bronx, NY 10453-4303

Ph: (718) 299-7295

Reviews and Comments


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Dr. Jyothi B Kudakandira, M.D
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Mana Rao, M.D.
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Dr. Keshav Teelucksingh, MD
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Tannaz Iranpour Boroujeni, M.D
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Heather Root, MD
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Kohtaro Ooka,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.