Manish G Kumar, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35482 Issued in IA

Practice address

2880 Aaa Court
Bettendorf, IA 52722-3206

Phone

(563) 359-7546

Fax

(563) 359-8037

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Indiana University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Eastern Iowa Dermatology PLC

  • Dermatology Physician
  • Bettendorf, IA
  • NPI 1942405808
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1033198395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 AAA COURT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223206",
            "telephone_number": "563-359-7546",
            "fax_number": "563-359-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 AAA COURT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223206",
            "telephone_number": "563-359-7546",
            "fax_number": "563-359-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MANISH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "35482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430967",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Louise Koob, MSW
• Aaron Koopman, CRNA
• Kristi Cappaert Lisw, LCSW
• Deepna Kukreja, MD
• Abigail Kulp, PA-C
• Narinder Kumar, M.D.
• Pomilla Kumar, M.D.
• Kathryn M Kunkel, M.S., CCC-SLP, BCBA
• Hungpo Kuo, LIC.AC, D.C., O.M.D.
• Madelyn Nicole Kussmann, PA-C

• Dermatology Physician in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.