Sumit Guha, MD - Medicare Emergency Medicine in New Braunfels, TX

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Sumit Guha, MD is a medicare enrolled "Emergency Medicine" physician in New Braunfels, Texas. His current practice location is 600 N Union Ave, New Braunfels, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 643-6166.

Sumit Guha is licensed to practice in Texas (license number J9695) 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 1144278698.

Contact Information

Sumit Guha, MD
600 N Union Ave,
New Braunfels, TX 78130-4194
(830) 643-6166
Not Available

Map and Direction




Physician's Profile

Full NameSumit Guha
GenderMale
SpecialityEmergency Medicine
Location600 N Union Ave, New Braunfels, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144278698
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 03/27/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8729991401
  • Enrollment ID: I20031110000054

Medical Identifiers

Medical identifiers for Sumit Guha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144278698NPI-NPPES
166860001MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine J9695 (Texas)Primary

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. Sumit Guha allows following entities to bill medicare on his behalf.
Entity NameThird Coast Emergency Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497793475
PECOS PAC ID: 6800794447
Enrollment ID: O20031222000126

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. Sumit Guha 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
Sumit Guha, MD
20 Inwood Blf,
San Antonio, TX 78248-1645

Ph: () -		Sumit Guha, MD
600 N Union Ave,
New Braunfels, TX 78130-4194

Ph: (830) 643-6166

Reviews and Comments


Emergency Medicine Doctors in New Braunfels, TX

Dr. Joseph S. Lesnick, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 Creekside Xing, New Braunfels, TX 78130
Phone: 830-500-6000    
Dr. Natasha Rustom Demehri, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 600 N Union Ave, New Braunfels, TX 78130
Phone: 210-704-2000    
Dr. Daniel De Los Santos, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 555 Creekside Xing, Emergency Dept, New Braunfels, TX 78130
Phone: 830-500-6005    
Timothy Curran, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Union Ave, New Braunfels, TX 78130
Phone: 830-643-6166    
Thomas Milton Kay, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1659 Texas 46, Suite 115 - 447, New Braunfels, TX 78132
Phone: 713-429-1519    
Roy Michael Crownover Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 600 N Union Ave, New Braunfels, TX 78130
Phone: 830-643-6166    

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.