Individual provider Active NPI

Abhishek Kumar, M.D

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Glastonbury, CT
National Provider Identifier
1083028484
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
61798 Issued in CT
Practice address
628 Hebron Ave Ste 300
Glastonbury, CT 06033-5018
Phone
(230) 518-3004
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X 61798 CT Primary

Addresses

Primary practice location

628 Hebron Ave Ste 300
Glastonbury, CT 06033-5018

Mailing address

200 Andrews Way Apt 206
South Windsor, CT 06074-6995
Phone (631) 833-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, ME, RI, NH, MA, NY, VA, OH8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20231004001538 NJ Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022360528 Reassigns benefits to 1 organization
I20231005001607 ME Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022360528 Reassigns benefits to 1 organization
I20231023002539 RI Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022360528 Reassigns benefits to 1 organization
I20231128003328 NH Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022360528 Reassigns benefits to 1 organization
I20231205001143 MA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022360528 Reassigns benefits to 1 organization
I20231226001222 NY Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022360528
I20240116002422 VA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022360528 Reassigns benefits to 1 organization
I20240718004432 OH Practitioner - Hospice/Palliative Care 8022360528 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61798CTMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of Kansas, PA Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akumar20536@carelonhealth.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1083028484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ANDREWS WAY APT 206",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060746995",
            "telephone_number": "631-833-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HEBRON AVE STE 300",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335018",
            "telephone_number": "230-518-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ABHISHEK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "61798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.