Ilia Sumoza, MD
NPI 1548447113 · Hematology & Oncology Physician · Fenton, MO
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilia Sumoza, MD is a Hematology & Oncology Physician provider in Fenton, MO (NPI 1548447113).
Provider details
- NPI number
- 1548447113
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2011030407 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,105 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 353 | $98 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 351 | $147 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 133 | $17 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 91 | $79 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 70 | $173 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 172 | 42 |
| Apixabanbrand: Eliquis | 90 | 23 |
| Rivaroxabanbrand: Xarelto | 65 | — |
| Hydroxyurea | 52 | — |
| Dexamethasone | 40 | 15 |
| Gabapentin | 36 | — |
| Ibrutinibbrand: Imbruvica | 35 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-25
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Frequently asked questions
- What is Ilia Sumoza's NPI number?
- Ilia Sumoza's National Provider Identifier (NPI) is 1548447113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilia Sumoza's specialty?
- Ilia Sumoza is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Ilia Sumoza located?
- Ilia Sumoza's practice location on file with NPPES is 1011 Bowles Ave, Fenton, MO 63026-2395.
- What is Ilia Sumoza's phone number?
- The practice phone number listed in the NPPES registry for Ilia Sumoza is (636) 496-4640.
- Does Ilia Sumoza accept Medicare?
- Ilia Sumoza is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ilia Sumoza's NPI active?
- Yes — Ilia Sumoza's NPI (1548447113) is active in the NPPES registry as of the last update on 2021-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.