NPIMap

Individual provider Active NPI

Neil Kumar, MD

  • Nephrology Physician
  • Roseburg, OR
National Provider Identifier
1003813015
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD23318 Issued in OR
Practice address
2410 NW Edenbower Blvd Ste 176
Roseburg, OR 97471-8830
Phone
(541) 957-1133
Fax
(541) 957-1799
NPI assigned
Jul 5, 2005
Reactivated
Mar 30, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD23318 OR Primary

Addresses

Primary practice location

2410 NW Edenbower Blvd Ste 176
Roseburg, OR 97471-8830

Mailing address

2410 NW Edenbower Blvd Ste 176
Roseburg, OR 97471-8830
Phone (541) 957-1133

Other identifiers 1

IdentifierTypeStateIssuer
286437MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001178 OR Practitioner - Nephrology 5799778304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2410 NW Edenbower Blvd
Suite 176
Roseburg, OR 97471-8830
Phone (541) 430-2032

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as individual
Quality
84.74
Promoting interoperability
99
Improvement activities
40
Cost
86.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: neilkumar_14239@khc.omnimddirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1003813015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 NW EDENBOWER BLVD STE 176",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718830",
            "telephone_number": "541-957-1133",
            "fax_number": "541-957-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 NW EDENBOWER BLVD STE 176",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718830",
            "telephone_number": "541-957-1133",
            "fax_number": "541-957-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-02-24",
        "certification_date": "2020-08-25",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD23318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286437",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.