Sumbul Ali, M.D.
NPI 1801032529 · Endocrinology, Diabetes & Metabolism Physician · Spring Hill, FL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumbul Ali, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Spring Hill, FL (NPI 1801032529).
Provider details
- NPI number
- 1801032529
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- ME120964 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
917 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 | 465 | $124 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 250 | $34 |
| 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 | 144 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 47 | $163 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 11 | $128 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 92 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 469 | 108 |
| Levothyroxine Sodium | 467 | 151 |
| Metformin Hcl | 392 | 126 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 389 | 128 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 348 | 145 |
| Insulin Aspartbrand: Novolog Flexpen | 257 | 102 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$652 across 34 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
- 2008-12-30
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Frequently asked questions
- What is Sumbul Ali's NPI number?
- Sumbul Ali's National Provider Identifier (NPI) is 1801032529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumbul Ali's specialty?
- Sumbul Ali is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Sumbul Ali located?
- Sumbul Ali's practice location on file with NPPES is 14690 Spring Hill Dr Ste 206, Spring Hill, FL 34609-8102.
- What is Sumbul Ali's phone number?
- The practice phone number listed in the NPPES registry for Sumbul Ali is (352) 799-4206.
- Does Sumbul Ali accept Medicare?
- Sumbul Ali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumbul Ali's NPI active?
- Yes — Sumbul Ali's NPI (1801032529) is active in the NPPES registry as of the last update on 2026-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.