Nikita Sumzin, MD - Medicare Internal Medicine in Grove City, PA

Nikita Sumzin, MD is a medicare enrolled "Internal Medicine" physician in Grove City, Pennsylvania. His current practice location is 631 N Broad Street Ext, Grove City, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 450-7246.

Nikita Sumzin is licensed to practice in Pennsylvania (license number MD481248) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396364550.

Contact Information

Nikita Sumzin, MD
631 N Broad Street Ext,
Grove City, PA 16127-4603
(724) 450-7246
(724) 450-7247

Map and Direction




Physician's Profile

Full NameNikita Sumzin
GenderMale
SpecialityInternal Medicine
Location631 N Broad Street Ext, Grove City, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396364550
  • Provider Enumeration Date: 04/08/2020
  • Last Update Date: 12/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446660906
  • Enrollment ID: I20231013001316

Medical Identifiers

Medical identifiers for Nikita Sumzin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396364550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD481248 (Pennsylvania)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Nikita Sumzin allows following entities to bill medicare on his behalf.
Entity NameAllegheny Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073081493
PECOS PAC ID: 5395649586
Enrollment ID: O20040310000602

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. Nikita Sumzin 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
Nikita Sumzin, MD
631 N Broad Street Ext,
Grove City, PA 16127-4603

Ph: (724) 450-7246
Nikita Sumzin, MD
631 N Broad Street Ext,
Grove City, PA 16127-4603

Ph: (724) 450-7246

Reviews and Comments


Internal Medicine Doctors in Grove City, PA

Dr. Harold Martin Wrigley, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 647 N Broad Street Ext Ste 107, Grove City, PA 16127
Phone: 724-458-8460    Fax: 724-458-0137
Dr. John Wardell Metcalf, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 190 George Junior Rd, Grove City, PA 16127
Phone: 724-458-1000    
Dr. Tamara L. W. Price, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 631 N Broad Street Ext, Grove City, PA 16127
Phone: 724-450-7246    Fax: 724-450-7247
Padmini Sircar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 675 N Broad Street Ext, Grove City, PA 16127
Phone: 724-458-5150    Fax: 724-458-0735
Dr. Timothy J. Lilly, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 432 Hillcrest Ave, Suite 3, Grove City, PA 16127
Phone: 724-615-9193    Fax: 724-458-6689
Benjamin Veres,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 631 N Broad Street Ext, Grove City, PA 16127
Phone: 724-450-7246    

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.