Sumi Sexton, MD - Medicare Family Practice in Arlington, VA

Sumi Sexton, MD is a medicare enrolled "Family Medicine" physician in Arlington, Virginia. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Privia Medical Group Llc, Ivyrehab Sept, Llc and her current practice location is 200 N Glebe Rd, Ste 300, Arlington, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 243-1300.

Sumi Sexton is licensed to practice in Virginia (license number 0101222193) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649227521.

Contact Information

Sumi Sexton, MD
200 N Glebe Rd, Ste 300,
Arlington, VA 22203-3728
(703) 243-1300
(703) 243-1151

Map and Direction




Physician's Profile

Full NameSumi Sexton
GenderFemale
SpecialityFamily Practice
Experience28 Years
Location200 N Glebe Rd, Arlington, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sumi Sexton attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1649227521
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385815638
  • Enrollment ID: I20111114000532

Medical Identifiers

Medical identifiers for Sumi Sexton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649227521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101222193 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virginia Hospital CenterArlington, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Llc43856820611176
Ivyrehab Sept, Llc79119909081137

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. Sumi Sexton allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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. Sumi Sexton 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
Sumi Sexton, MD
1822 N Ode St,
Arlington, VA 22209-1410

Ph: (703) 527-3875
Sumi Sexton, MD
200 N Glebe Rd, Ste 300,
Arlington, VA 22203-3728

Ph: (703) 243-1300

Reviews and Comments


Family Medicine Doctors in Arlington, VA

Roza H Hassen, MD
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Practice Location: 1005 N Glebe Rd Ste 160, Arlington, VA 22201
Phone: 571-492-3045    Fax: 571-492-3046
Dr. Mary Cathleen Nishimura, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 888 N Quincy St Unit 2105, Arlington, VA 22203
Phone: 717-609-5897    
Zain Jalal Sultan, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3600 S Glebe Rd Ste 110, Arlington, VA 22202
Phone: 571-665-6480    Fax: 571-665-6481
Dr. Carl W Mccord, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 N Glebe Rd Ste 700, Arlington, VA 22203
Phone: 571-933-4662    Fax: 866-343-0947
Lee Baldwin Martin Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 437 N Park Dr, Ste 1, Arlington, VA 22203
Phone: 703-527-1339    Fax: 703-527-9733
Dr. Janet F Regier, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4201 Wilson Blvd, Health Unit Room 265 S, Arlington, VA 22230
Phone: 703-292-4401    Fax: 703-292-9001
Dr. Jennifer T Neria, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1625 N George Mason Dr, Suite 434, Arlington, VA 22205
Phone: 703-522-1860    Fax: 703-522-7293

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.